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Organization

HUBERTINA J M HAGEN OD INC PC

Active
Other names
Eye to Eye Family Vision Care
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH L COOK OD (OWNER)
(918) 227-3937
Entity
Organization

Contact information

Practice address
1029 E TAFT AVE, SAPULPA, OK 74066-4570
(918) 227-3937
(888) 972-5679
Mailing address
1029 E TAFT AVE, SAPULPA, OK 74066-4570
(918) 227-3937
(888) 972-5679

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2243
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200124200A
OK
Enumeration date
03/07/2007
Last updated
10/17/2022
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