Individual
THOMAS HOWARD BERENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3300 S ASPEN AVE, SUITE D, BROKEN ARROW, OK 74012-7501
(918) 451-2020
(918) 449-9086
Mailing address
3300 S ASPEN AVE, SUITE D, BROKEN ARROW, OK 74012-7501
(918) 451-2020
(918) 449-9086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
795
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765420A
—
OK
Enumeration date
01/18/2006
Last updated
05/06/2008
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