Individual
DR. SCOTT MARTIN HIBBETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 456-5511
(918) 458-2104
Mailing address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 456-5511
(918) 458-2104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2562
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2562
OKLAHOMA OPTOMETRY LICENSE NUMBER
OK
Enumeration date
08/04/2008
Last updated
08/04/2008
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