Organization
MARK B. PRIVOTT, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B PRIVOTT O.D. (OWNER)
(405) 495-5170
Entity
Organization
Contact information
Practice address
4107 N COUNCIL RD BLDG H, BETHANY, OK 73008-3131
(405) 495-5170
(405) 787-0123
Mailing address
4107 N COUNCIL RD BLDG H, BETHANY, OK 73008-3131
(405) 495-5170
(405) 787-0123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1113
OK
Other
Enumeration date
04/25/2007
Last updated
05/28/2025
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