Individual
MR. OLIN W FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-3424
(918) 567-3420
Mailing address
200 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-3424
(918) 567-3420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2417
OK
152W00000X
Optometrist
6474TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81289Q
TEXAS BCBS PROVIDER NUMBE
TX
Enumeration date
08/31/2005
Last updated
11/12/2025
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