Organization
THOMAS DEAN BLUE
Active
Other names
Thomas Blue, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DEAN BLUE O.D. (OWNER)
(405) 677-8831
Entity
Organization
Contact information
Practice address
5113 A S.E 15TH ST., DEL CITY, OK 73115
(405) 677-8831
(405) 677-8865
Mailing address
5113 A S.E 15TH ST., DEL CITY, OK 73115
(405) 677-8831
(405) 677-8865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765960A
—
OK
05
—
200077190A
—
OK
01
—
540012140
RAILROAD MEDICARE
—
01
—
DS4938
RAILROAD MEDICARE
—
Enumeration date
02/25/2010
Last updated
04/30/2013
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