Healthcare Provider Details

I. General information

NPI: 1356364681
Provider Name (Legal Business Name): PATRICIA L MURRAY O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/13/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OKLAHOMA CITY VAMC 921 NE 13TH ST
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

OKC VA HCS 921 NE 13TH ST
OKLAHOMA CITY OK
73104
US

V. Phone/Fax

Practice location:
  • Phone: 405-456-2057
  • Fax: 405-456-2051
Mailing address:
  • Phone: 405-456-2057
  • Fax: 405-456-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3088
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number3088
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License NumberT03071
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberT03071
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: