Organization
BRETT ENYART, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT M ENYART O.D. (PRESIDENT)
(918) 640-8010
Entity
Organization
Contact information
Practice address
5335 W ROGERS BLVD, STE. B, SKIATOOK, OK 74070-5284
(918) 396-4440
(918) 396-4449
Mailing address
5335 W ROGERS BLVD, STE. B, SKIATOOK, OK 74070-5284
(918) 396-4440
(918) 396-4449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2301
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO5028
MEDICARE ID
OK
Enumeration date
08/29/2012
Last updated
07/18/2013
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