Organization
WESLEY A. RAINWATER, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY ALAN RAINWATER O.D. (PRESIDENT)
(918) 254-0447
Entity
Organization
Contact information
Practice address
8122 S MEMORIAL DR, TULSA, OK 74133-4309
(918) 254-0447
(918) 252-5753
Mailing address
8122 S MEMORIAL DR, TULSA, OK 74133-4309
(918) 254-0447
(918) 252-5753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
985
OK
Other
Enumeration date
07/11/2010
Last updated
12/14/2011
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