Organization
JACQUELYN POWERS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN POWERS (OWNER)
(918) 527-5210
Entity
Organization
Contact information
Practice address
3539 W MAIN ST, NORMAN, OK 73072-4811
(185) 275-2109
Mailing address
3539 W MAIN ST, NORMAN, OK 73072-4811
(918) 527-5210
(405) 364-3269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2496
OK
152WP0200X
Pediatric Optometrist
2496
OK
152WV0400X
Vision Therapy Optometrist
2496
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110110
—
OK
05
—
200110110A
—
OK
Enumeration date
05/21/2008
Last updated
12/07/2023
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