Individual
DR. SCOTT DANIEL FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3011 NW 63RD ST, OKLAHOMA CITY, OK 73116-3629
(405) 840-2800
(405) 840-8242
Mailing address
3011 NW 63RD ST, OKLAHOMA CITY, OK 73116-3629
(405) 840-2800
(405) 840-8242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2099
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763860A
—
OK
Enumeration date
10/31/2006
Last updated
04/22/2008
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