Organization
THOMAS H BERENSON O D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H BERENSON OD (PRESIDENT)
(918) 451-2020
Entity
Organization
Contact information
Practice address
3300 S ASPEN AVE, STE D, BROKEN ARROW, OK 74012-7501
(918) 451-2020
(918) 449-9086
Mailing address
3300 S ASPEN AVE, STE D, BROKEN ARROW, OK 74012-7501
(918) 451-2020
(918) 449-9086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
795
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765420A
—
OK
Enumeration date
12/19/2006
Last updated
03/07/2023
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