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Individual

DR. SANDRA A MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
8925 E 61ST ST, SUITE A, TULSA, OK 74133-1319
(918) 294-2020
(918) 249-1232
Mailing address
8925 E 61ST ST, SUITE A, TULSA, OK 74133-1319
(918) 294-2020
(918) 249-1232

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2162
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750570081
NPI GROUP
OK
01
28502
SPECTERA
OK
01
44468682002
BC BS OF OKLAHOMA
OK
01
51681
DAVIS VISION
OK
01
OK2162
EYEMED
OK
Enumeration date
10/18/2006
Last updated
07/29/2014
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