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NPI Code Detail

MEDICARE: DR. AMBER ANN MAYES O.D.

MEDICARE: DR. AMBER ANN MAYES O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2570OK

General Provider Information

NPI Number : 1316103401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBER ANN MAYES O.D.
Provider Business Mailing Address
First Line : 2800 NW 36TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7477
Country : US
Telephone Number : 405-943-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2800 NW 36TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7477
Country : US
Telephone Number : 405-943-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 05/26/2026

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