Individual
DR. WYMAN DANE DOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
603 W CHEROKEE AVE, SALLISAW, OK 74955-4213
(918) 775-5529
(918) 775-0515
Mailing address
603 W CHEROKEE AVE, SALLISAW, OK 74955-4213
(918) 775-5529
(918) 775-0515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1172
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764610A
—
OK
01
—
OKA101564
MEDICARE IND PTAN
—
Enumeration date
08/20/2006
Last updated
04/13/2022
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