Individual
DR. DEBRA JEAN BEZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8829 S KINGSTON AVE, TULSA, OK 74137-3000
(918) 494-0166
(918) 494-0166
Mailing address
8829 S KINGSTON AVE, TULSA, OK 74137-3000
(918) 494-0166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1040
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174230001
MEDICARE - DMERC
OK
Enumeration date
07/19/2006
Last updated
07/16/2007
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