Individual
DR. CHASE L. VERVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2501 W MEMORIAL RD STE 222, OKLAHOMA CITY, OK 73134-8019
(405) 775-9300
(405) 775-9303
Mailing address
2501 W MEMORIAL RD STE 222, OKLAHOMA CITY, OK 73134-8019
(405) 775-9300
(405) 775-9303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2673
OK
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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