Individual
DR. BRUCE WAYNE VARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 MAXWELL DR, PAULS VALLEY, OK 73075-6812
(405) 238-6459
(405) 238-6450
Mailing address
PO BOX 622, PAULS VALLEY, OK 73075-0622
(405) 238-6459
(405) 238-6450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
O.D. 902
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763600A
—
OK
05
—
100763600B
—
OK
Enumeration date
10/31/2005
Last updated
05/12/2008
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