Healthcare Provider Details

I. General information

NPI: 1467006296
Provider Name (Legal Business Name): CAITLYN MARIE MEFFORD OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S LOCUST ST STE B
NOWATA OK
74048-3622
US

IV. Provider business mailing address

PO BOX 265
NOWATA OK
74048-0265
US

V. Phone/Fax

Practice location:
  • Phone: 918-559-3257
  • Fax: 918-559-3261
Mailing address:
  • Phone: 918-559-3257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3032
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: