Individual
BRAD F WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1751 W ALBANY ST, BROKEN ARROW, OK 74012-1462
(918) 994-4450
(918) 994-4451
Mailing address
1751 W ALBANY ST, BROKEN ARROW, OK 74012-1462
(918) 994-4450
(918) 994-4451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2437
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038340A
—
OK
01
—
P00178439
RAIL ROAD MEDICARE
OK
Enumeration date
05/31/2006
Last updated
06/08/2026
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