Organization
BOALDIN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS BOALDIN O.D. (PRESIDENT)
(316) 993-0575
Entity
Organization
Contact information
Practice address
1901 NW EXPRESSWAY, SUITE #2058, OKLAHOMA CITY, OK 73118-1607
(405) 767-2020
(405) 767-2022
Mailing address
353 MILLBROOK DR, NORMAN, OK 73072-4751
(405) 767-2020
(405) 767-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2640
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200344100A
—
OK
Enumeration date
07/29/2011
Last updated
09/15/2011
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