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Organization

STILLWATER VISION CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN R GUMM O.D. (PRESIDENT)
(405) 372-3724
Entity
Organization

Contact information

Practice address
2123 W 6TH AVE, STILLWATER, OK 74074-4136
(405) 372-3724
(405) 743-1042
Mailing address
2123 W 6TH AVE, STILLWATER, OK 74074-4136
(405) 372-3724
(405) 743-1042

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0210790001
STILL VISION CL DMERC
OK
05
100766010A
OK
05
100766180A
OK
05
100768660B
OK
05
200005020A
OK
01
410019936
JAMES STARK,O.D. RR MCARE
OK
01
410032462
DAVID REYNOLDS,OD RRMCARE
OK
01
410033132
BRIAN GUMM,O.D. RR MCARE
OK
01
443721363001
DAVID REYNOLDS,OD BCBS
OK
01
448646516001
BRIAN GUMM,OD BCBS
OK
Enumeration date
04/20/2007
Last updated
01/09/2026
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