Organization
DAVID R. FREE, O.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RANDAL FREE O.D. (PRESIDENT)
(918) 582-7346
Entity
Organization
Contact information
Practice address
1223 S PEORIA AVE STE A, TULSA, OK 74120-5004
(918) 582-7346
(918) 585-3331
Mailing address
1223 S PEORIA AVE STE A, TULSA, OK 74120-5004
(918) 582-7346
(918) 585-3331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1176
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2776900001
CIGNA
KS
01
—
445747074002-BCBS
BCBS
OK
01
—
5022187
AETNA
OK
01
—
OK1176
EYEMED
OK
Enumeration date
12/08/2006
Last updated
04/20/2008
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