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Individual

DR. JONI S COUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3131 MILITARY BLVD, MUSKOGEE, OK 74401-2290
(918) 687-6600
(918) 687-6610
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 307-1983

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2470
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO5028
RR MEDICARE
OK
Enumeration date
01/10/2006
Last updated
07/21/2022
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