Individual
DR. TYLER W GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16135 N MAY AVE, SUITE A, EDMOND, OK 73013-8976
(405) 751-5638
(405) 752-1692
Mailing address
16135 N MAY AVE, SUITE A, EDMOND, OK 73013-8976
(405) 626-5503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2653
OK
Other
Enumeration date
07/16/2010
Last updated
04/02/2015
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