Individual
DR. TATYANA VICTORIA MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1722 N 4TH ST STE C, PONCA CITY, OK 74601-2745
(580) 762-0870
(580) 762-0871
Mailing address
1722 N 4TH ST STE C, PONCA CITY, OK 74601-2745
(580) 762-0870
(580) 762-0871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2343
OK
Other
Enumeration date
08/02/2006
Last updated
01/07/2008
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