Individual
DR. J TRAVIS YADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10101 S PENN AVE, STE A, OKLAHOMA CITY, OK 73159-6929
(405) 691-3319
(405) 691-1377
Mailing address
10101 S PENN AVE, STE A, OKLAHOMA CITY, OK 73159-6929
(405) 691-3319
(405) 691-1377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
950
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760060A
—
OK
01
—
4585530001
PALMETTO
OK
Enumeration date
06/16/2006
Last updated
08/21/2014
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