Individual
RACHEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 KIOWA ST STE A, ARDMORE, OK 73401-2246
(580) 223-8585
Mailing address
1201 KIOWA ST STE A, ARDMORE, OK 73401-2246
(580) 223-8585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3202
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2022
Last updated
06/27/2023
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