Individual
DR. FRED WILLY HERRIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7222 NW EXPRESSWAY, OKLAHOMA CITY, OK 73132
(405) 721-0100
(405) 720-7915
Mailing address
10308 MANTLE DR, OKLAYHOMA CITY, OK 73162
(405) 722-3993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
878
OK
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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