Healthcare Provider Details

I. General information

NPI: 1093638173
Provider Name (Legal Business Name): ALYSSA JOAN GUARINO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3590 N HWY 81
DUNCAN OK
73533-8930
US

IV. Provider business mailing address

2155 HUX DR
BLANCHARD OK
73010-5325
US

V. Phone/Fax

Practice location:
  • Phone: 580-255-9717
  • Fax:
Mailing address:
  • Phone: 401-263-7390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3344
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: