Organization
DR. JODY W. ATCHLEY, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY W. ATCHLEY O.D. (OWNER)
(580) 255-9717
Entity
Organization
Contact information
Practice address
2204 1/2 N HIGHWAY 81, DUNCAN, OK 73533-1221
(580) 255-9717
(580) 255-7598
Mailing address
2204 1/2 N HIGHWAY 81, DUNCAN, OK 73533-1221
(580) 255-9717
(580) 255-7598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2056
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761730A
—
OK
Enumeration date
05/06/2008
Last updated
05/06/2008
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