Individual
DR. JACKIE E POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3539 W MAIN ST, NORMAN, OK 73072-4811
(405) 573-9166
(405) 573-9768
Mailing address
3539 W MAIN ST, NORMAN, OK 73072-4811
(918) 527-5210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2496
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110110A
—
OK
Enumeration date
08/18/2006
Last updated
08/08/2024
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