Individual
PAYTON BERRY LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14701 N SANTA FE AVE, EDMOND, OK 73013-3411
(405) 752-2733
Mailing address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 920-5222
(405) 920-5209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3307
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/29/2026
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