Individual
DR. JOHN D HUDKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4008 S ELM PL, SUITE A, BROKEN ARROW, OK 74011-2021
(918) 455-2020
(918) 455-4030
Mailing address
4008 S ELM PL, SUITE A, BROKEN ARROW, OK 74011-2021
(918) 455-2020
(918) 455-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
909
OK
152WC0802X
Corneal and Contact Management Optometrist
909
OK
152WL0500X
Low Vision Rehabilitation Optometrist
909
OK
152WP0200X
Pediatric Optometrist
909
OK
152WS0006X
Sports Vision Optometrist
909
OK
152WX0102X
Occupational Vision Optometrist
909
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100766680A
—
OK
01
—
E066
BLUELINCS
OK
Enumeration date
10/04/2006
Last updated
10/16/2012
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