Individual
DR. WILLIAM LEE EVANS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
100 EAST 2ND ST, ATOKA, OK 74525-0000
(580) 889-3492
(580) 889-3499
Mailing address
PO BOX 396, 100 EAST 2ND ST, ATOKA, OK 74525
(580) 889-3492
(580) 889-3499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK959
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763170A
—
OK
Enumeration date
07/12/2006
Last updated
11/08/2011
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