Healthcare Provider Details

I. General information

NPI: 1922144872
Provider Name (Legal Business Name): JULIE C MOTES O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15302 N MAY AVE
EDMOND OK
73013-8864
US

IV. Provider business mailing address

15302 N MAY AVE
EDMOND OK
73013-8864
US

V. Phone/Fax

Practice location:
  • Phone: 405-751-7272
  • Fax: 405-751-7229
Mailing address:
  • Phone: 405-751-7272
  • Fax: 405-751-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2225
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: