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Individual

MATTHEW E OZMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2500 WEST NEW ORLEANS, BROKEN ARROW, OK 74011
(405) 248-6306
(405) 598-6558
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK2368
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100847000B
OK
01
4054540099
VSP HARRAH
OK
01
47-0898450
SUPERIOR VISION HARRAH
OK
01
HE28037
HARRAH SPECTERA
OK
01
OK2368
EYEMED TECUMSEH
OK
01
OP1609
EYEMED
OK
01
TE18668
SPECTERA TECUMSEH
OK
01
TECPLLC
VSP TECUMSEH
OK
Enumeration date
03/31/2006
Last updated
09/24/2021
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