Individual
MRS. STACY G PRESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1433 ARLINGTON ST, ADA, OK 74820-2636
(580) 332-5606
(580) 332-3946
Mailing address
1433 ARLINGTON ST, ADA, OK 74820-2636
(580) 332-5606
(580) 332-3946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2431
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200078050A
—
OK
01
—
201496058-001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
08/09/2006
Last updated
02/26/2013
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