Individual
DR. TASHA JOHNNETTE SCHELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3500 NW 56TH ST, SUITE 101, OKLAHOMA CITY, OK 73112-4529
(405) 271-9500
(405) 271-9505
Mailing address
3500 NW 56TH ST, SUITE 101, OKLAHOMA CITY, OK 73112-4529
(405) 271-9500
(405) 271-9505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2501
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331540A
—
OK
Enumeration date
09/28/2006
Last updated
08/04/2020
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