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Organization

SHELLY RICE OD PC INC

Active
Other names
Rice Family Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY DEANN RICE OD (OWNER)
(918) 485-4775
Entity
Organization

Contact information

Practice address
512 E CHEROKEE ST, WAGONER, OK 74467-4710
(918) 485-4775
(918) 485-7611
Mailing address
512 E CHEROKEE ST, WAGONER, OK 74467-4710
(918) 485-4775
(918) 485-7611

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2284
OK
152WC0802X
Corneal and Contact Management Optometrist
2284
OK
152WL0500X
Low Vision Rehabilitation Optometrist
2284
OK
152WP0200X
Pediatric Optometrist
2284
OK
152WS0006X
Sports Vision Optometrist
2284
OK
152WV0400X
Vision Therapy Optometrist
2284
OK
152WX0102X
Occupational Vision Optometrist
2284
OK
332H00000X
Eyewear Supplier
2284
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100761650B
OK
05
200325640A
OK
Enumeration date
11/06/2007
Last updated
04/30/2025
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