Individual
DR. ERIC GLENN BAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 307-1983
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2089
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762750A
—
OK
Enumeration date
12/08/2006
Last updated
04/17/2024
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