Individual
BROOKLYNSHY CHARLEA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(580) 453-0959
Mailing address
615 SEMINARY AVE, TAHLEQUAH, OK 74464-2226
(580) 453-0959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3305
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2025
Last updated
08/15/2025
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