Individual
TERRY A BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6606 S YALE AVE, SUITE 220, TULSA, OK 74136-3364
(918) 492-4122
(918) 492-7451
Mailing address
6606 S YALE AVE, SUITE 220, TULSA, OK 74136-3364
(918) 492-4122
(918) 492-7451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502210
—
OK
Enumeration date
07/12/2006
Last updated
07/27/2009
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