Individual
DR. J DEAN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3414 NW CACHE RD STE E, LAWTON, OK 73505-3877
(580) 353-2015
(580) 353-2022
Mailing address
3414 NW CACHE RD STE E, LAWTON, OK 73505-3877
(580) 353-2015
(580) 353-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1091
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765020A
—
OK
01
—
1780858464
TYPE 2 ORGANIZATION NPI
—
Enumeration date
08/04/2006
Last updated
02/17/2012
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