Organization
DR. BILL L EVANS, OPTOMETRIC PHYSICIAN INC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL L EVANS OD (PRESIDENT)
(580) 889-3492
Entity
Organization
Contact information
Practice address
100 E 2ND ST, ATOKA, OK 74525-2406
(580) 889-3492
(580) 889-3499
Mailing address
100 E 2ND ST, P.O. BOX 386, ATOKA, OK 74525-2406
(580) 889-3492
(580) 889-3499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OK
332B00000X
Durable Medical Equipment & Medical Supplies
1780887711
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763170A
—
OK
Enumeration date
06/07/2007
Last updated
04/20/2008
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