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NPI Code Detail

MEDICARE: DR. STEPHANIE MICHELLE RICE O.D.

MEDICARE: DR. STEPHANIE MICHELLE RICE 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
1152WV0400XVision Therapy OptometristOKOK
2152W00000XOptometristOK2400OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DF6544OTHEROKRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316931694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE MICHELLE RICE 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 : 405-506-3406
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 : 405-506-3406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 05/06/2026

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