Healthcare Provider Details

I. General information

NPI: 1932416930
Provider Name (Legal Business Name): CANDACE ACORD O.D.L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2010
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1087 N HARRAH RD
HARRAH OK
73045-9692
US

IV. Provider business mailing address

1087 N HARRAH RD
HARRAH OK
73045-9692
US

V. Phone/Fax

Practice location:
  • Phone: 405-454-0099
  • Fax: 405-454-0432
Mailing address:
  • Phone: 405-454-0099
  • Fax: 405-454-0432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2635
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: