Individual
THEODORE B OKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(310) 603-8749
Mailing address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(310) 603-8749
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G8937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G89370
—
CA
01
—
G8937
CA LIC NUMBER
CA
Enumeration date
08/21/2006
Last updated
08/05/2010
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