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General NPI Number Information
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NPI Number | 1952586273
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Entity Type | Organization
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Legal Business Name | PATRINA SATTIEWHITE-WALTER O.D., P.C.
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Dates
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Enumeration Date | 01/05/2008
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 13509 N MERIDIAN AVE STE 3
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8396
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Country | US
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Telephone | 405-751-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 13509 N MERIDIAN AVE STE 3
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8396
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Country | US
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Telephone | 405-751-0075
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | DR. PATRINA SATTIEWHITE WALTER
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Credential | OD
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Telephone | 405-751-0075
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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 | 2228
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License Number State | OK
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