Organization
MOTLEY VISION PROFESSIONALS, PLLC
Active
Other names
Full Spectrum Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGET MOTLEY O.D. (OWNER)
(405) 749-2020
Entity
Organization
Contact information
Practice address
9805 N. MAY AVENUE, OKLAHOMA CITY, OK 73120
(405) 749-2020
Mailing address
21932 TOSCANA CT, EDMOND, OK 73012-0919
(405) 329-5613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2601
OK
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200757780A
—
OK
Enumeration date
02/15/2018
Last updated
06/29/2018
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