Organization
CAMERON E. HERRIN, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON EUGENE HERRIN O.D. (OWNER)
(405) 527-2020
Entity
Organization
Contact information
Practice address
1711 N GREEN AVE., PURCELL, OK 73080-4220
(405) 527-2020
(405) 527-0318
Mailing address
1711 N GREEN AVE, PURCELL, OK 73080-1731
(405) 527-2020
(405) 527-0318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2246
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764590A
—
OK
01
—
410042651
RAILROAD MEDICARE
OK
01
—
445747749001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
04/17/2007
Last updated
06/25/2012
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