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General NPI Number Information
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NPI Number | 1982678181
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Entity Type | Organization
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Legal Business Name | STEPHEN L MCRAY OD INC
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 428 W GRAND AVE
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City | CHICKASHA
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State | OK
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Zip | 73018-5865
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Country | US
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Telephone | 405-222-2020
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Fax | 405-222-5555
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Provider Business Mailing Address
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Address Line | 428 W GRAND AVE
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City | CHICKASHA
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State | OK
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Zip | 73018-5865
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Country | US
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Telephone | 405-222-2020
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Fax | 405-222-5555
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Authorized Official
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Title or Position | MANAGER
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Name | KRISTI WILSON
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Credential |
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Telephone | 405-222-2020
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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 | 1055
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License Number State | OK
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