Individual
DR. WAYMON DALE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11653 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5801
(405) 691-2210
(405) 691-0136
Mailing address
11653 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5801
(405) 691-2210
(405) 691-0136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2067
OK
Other
Enumeration date
02/05/2007
Last updated
09/28/2012
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