MEDICARE: DAVID L STROTHER OD

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
1	152W00000X	Optometrist	849	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5720242	OTHER	OK	AETNA

General Provider Information

NPI Number	:	1699781849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L STROTHER OD

Provider Business Mailing Address
First Line	:	3852 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73122-2016
Country	:	US
Telephone Number	:	405-789-1542
Fax Number	:	405-789-3145

Provider Business Practice Location Address
First Line	:	3852 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73122-2016
Country	:	US
Telephone Number	:	405-789-1542
Fax Number	:	405-789-3145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	10/25/2007

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Directions to “ DAVID L STROTHER OD” Practice Location

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