Individual
MR. JOHN BRIAN CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4433 SOUTH HARVARD, TULSA, OK 74135-2604
(918) 743-6334
(918) 743-6369
Mailing address
4433 SOUTH HARVARD, TULSA, OK 74135-2604
(918) 743-6334
(918) 743-6369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2356OK
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023450A
—
OK
Enumeration date
09/11/2006
Last updated
08/28/2008
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