Individual
DR. LISA L MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10001 S WESTERN AVE STE 200, OKLAHOMA CITY, OK 73139-2997
(405) 778-8993
Mailing address
10001 S WESTERN AVE STE 200, OKLAHOMA CITY, OK 73139-2997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2344
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132360A
—
OK
01
—
410047670
RAILROAD MEDICARE
OK
01
—
539704
PTAN
—
Enumeration date
01/09/2007
Last updated
04/05/2026
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