Individual
DR. TRACY L SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4008 S ELM PL, STE A, BROKEN ARROW, OK 74011
(918) 455-2020
(918) 455-4030
Mailing address
4008 S ELM PL, STE A, BROKEN ARROW, OK 74011
(918) 455-2020
(918) 455-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2837
OK
152W00000X
Optometrist
OD00004159
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200617840A
—
OK
05
—
2034155
—
WA
Enumeration date
07/06/2007
Last updated
03/28/2024
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