Organization
THOMAS BLUE EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DEAN BLUE OD (OWNER)
(405) 677-8831
Entity
Organization
Contact information
Practice address
5113 SE 15TH ST, DEL CITY, OK 73115-3952
(405) 677-8831
(405) 677-8865
Mailing address
5113 SE 15TH ST, SUITE A, DEL CITY, OK 73115-3952
(405) 677-8831
(405) 677-8865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077190A
—
OK
Enumeration date
03/05/2007
Last updated
04/30/2013
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