Individual
GREGORY J O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 444-4000
Mailing address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2595
CO
152W00000X
Optometrist
Primary
2633
OK
Other
Enumeration date
07/08/2008
Last updated
09/14/2009
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