Individual
MAX D VENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
705 CITY AVE, MOORE, OK 73160-3819
(405) 794-7544
(405) 794-7599
Mailing address
705 CITY AVE, MOORE, OK 73160-3819
(405) 794-7544
(405) 794-7599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK0932
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763670A
—
OK
01
—
1041330001
DMEPOS
OK
01
—
730942327002
BCBS
OK
Enumeration date
06/17/2005
Last updated
07/08/2007
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