Individual
JUDITH ANN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1402 N. SIOUX, CLAREMORE, OK 74017
(918) 341-3284
(918) 341-3127
Mailing address
1402 N. SIOUX, CLAREMORE, OK 74017
(918) 341-3284
(918) 341-3127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
965
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100759950D
—
OK
01
—
2226424
UNITED HEALTHCARE
OK
01
—
5764055
AETNA
OK
Enumeration date
05/27/2005
Last updated
01/26/2017
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