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General NPI Number Information
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NPI Number | 1376853952
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Entity Type | Organization
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Legal Business Name | EYE DOCTORS OF OKLAHOMA INC
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2782 WASHINGTON DR STE 110
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City | NORMAN
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State | OK
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Zip | 73069-1013
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Country | US
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Telephone | 405-701-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 2782 WASHINGTON DR STE 110
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City | NORMAN
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State | OK
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Zip | 73069-1013
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Country | US
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Telephone | 405-701-1122
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DR. ROBERT DANIEL BALES
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Credential | M.D.
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Telephone | 405-701-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25665
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License Number State | OK
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