Individual
THOMAS DEAN BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4650 SE 15TH ST, DEL CITY, OK 73115-3008
(405) 677-8831
(405) 677-8865
Mailing address
4650 SE 15TH ST, DEL CITY, OK 73115-3008
(405) 677-8831
(405) 677-8865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
863
OK
Other
Enumeration date
10/11/2005
Last updated
02/24/2015
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