Individual
AMANDA ARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 E HARTFORD AVE, PONCA CITY, OK 74601-2004
(580) 765-3379
Mailing address
521 E HARTFORD AVE, PONCA CITY, OK 74601-2004
(580) 764-3379
(580) 765-6323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3289
OK
Other
Enumeration date
07/25/2025
Last updated
05/07/2026
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