Individual
IRINA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3431 S BOULEVARD STE 105, EDMOND, OK 73013-5514
(405) 771-0880
(405) 562-2116
Mailing address
3431 S BOULEVARD STE 105, EDMOND, OK 73013-5514
(405) 771-0880
(405) 562-2116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3026
OK
Other
Enumeration date
05/14/2019
Last updated
07/14/2023
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