Individual
DR. WILLIAM D DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
502 W OWEN K GARRIOTT RD, ENID, OK 73701-5523
(580) 233-3599
(580) 237-2570
Mailing address
502 W OWEN K GARRIOTT RD, ENID, OK 73701-5523
(580) 233-3599
(580) 237-2570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
802
OK
152WC0802X
Corneal and Contact Management Optometrist
802
OK
152WL0500X
Low Vision Rehabilitation Optometrist
802
OK
152WP0200X
Pediatric Optometrist
802
OK
152WS0006X
Sports Vision Optometrist
802
OK
152WX0102X
Occupational Vision Optometrist
802
OK
332H00000X
Eyewear Supplier
802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761850A
—
OK
Enumeration date
09/14/2006
Last updated
11/09/2011
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