Individual
LISA ANN HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3040 S MUSKOGEE AVE STE 109, TAHLEQUAH, OK 74464-5485
(918) 431-1444
(918) 431-1555
Mailing address
3040 S MUSKOGEE AVE STE 109, TAHLEQUAH, OK 74464-5485
(918) 431-1444
(918) 431-1555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2305
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765160A
—
OK
01
—
2605260
UNITED HEALTHCARE
OK
Enumeration date
11/18/2005
Last updated
09/16/2013
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