Individual
DR. JAMES LARRY CHARLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
523 S SANTA FE AVE, STE A, EDMOND, OK 73003-6291
(405) 330-1100
(405) 330-1192
Mailing address
523 S SANTA FE AVE, STE A, EDMOND, OK 73003-6291
(405) 330-1100
(405) 330-1192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK2094
OK
Other
Enumeration date
05/01/2006
Last updated
07/17/2008
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