MEDICARE: DR. RICHARD W VARLEY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	930	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699778449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD W VARLEY O.D.

Provider Business Mailing Address
First Line	:	508 W CHICKASHA AVE
Second Line	:
City	:	CHICKASHA
State	:	OK
Zip	:	73018-2412
Country	:	US
Telephone Number	:	405-222-1270
Fax Number	:	405-224-5093

Provider Business Practice Location Address
First Line	:	508 W CHICKASHA AVE
Second Line	:
City	:	CHICKASHA
State	:	OK
Zip	:	73018-2412
Country	:	US
Telephone Number	:	405-222-1270
Fax Number	:	405-224-5093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/30/2008

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