Individual
DAVID L EPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
102 E MAIN ST, SAYRE, OK 73662-2914
(580) 928-2212
(580) 928-2303
Mailing address
104 E MAIN ST, PO BOX 278, SAYRE, OK 73662-2914
(580) 928-2212
(580) 928-2303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
04257T
TX
152W00000X
Optometrist
Primary
2012
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194193-01
—
TX
05
—
100767570A
—
OK
01
—
73-1440033
FED ID #
OK
Enumeration date
06/16/2006
Last updated
12/05/2016
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