Organization
J CHRIS HUMMEL MD PC
Active
Other names
The Optical Shop, Hummel Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LEA FREITAG (ADMINISTRATOR)
(405) 755-6111
Entity
Organization
Contact information
Practice address
4205 MCAULEY BLVD, OKLAHOMA CITY, OK 73120-8347
(405) 755-6111
(405) 755-6298
Mailing address
4205 MCAULEY BLVD STE 401, OKLAHOMA CITY, OK 73120-8347
(405) 755-6111
(405) 755-6298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
19601
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745180A
—
OK
Enumeration date
10/11/2005
Last updated
09/11/2024
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