Organization
DRS. ODOM COBURN AND RICHARDSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY ODOM (O.D.)
(918) 682-7752
Entity
Organization
Contact information
Practice address
742 N YORK ST, MUSKOGEE, OK 74403-3866
(918) 682-7752
(918) 687-8440
Mailing address
742 N YORK ST, MUSKOGEE, OK 74403-3866
(918) 682-7752
(918) 687-8440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
823
OK
Other
Enumeration date
11/15/2006
Last updated
05/26/2011
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