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General NPI Number Information
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NPI Number | 1134099005
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Entity Type | Organization
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Legal Business Name | WELLS HIBBETS PC PLLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1751 W ALBANY ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-1462
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Country | US
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Telephone | 918-994-4450
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Fax | 918-994-4451
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Provider Business Mailing Address
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Address Line | 1751 W ALBANY ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-1462
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Country | US
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Telephone | 918-994-4450
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Fax | 918-994-4451
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRAD WELLS
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Credential | OD
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Telephone | 918-994-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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