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Individual

DR. TRAVIS G GITTINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8812 N COUNCIL RD, OKLAHOMA CITY, OK 73132-3246
(405) 773-3937
(405) 728-3939
Mailing address
8812 N COUNCIL RD, OKLAHOMA CITY, OK 73132-3246
(405) 773-3937
(405) 728-3939

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2242
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100767750A
OK
01
429430394002
BCBS
OK
Enumeration date
08/02/2006
Last updated
06/03/2021
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