Dr. Brett Beasley, OD
Optometrist in Tulsa, OK. Individual provider (NPI-1).
NPI number1659008563
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1659008563
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brett Beasley
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2022
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3162 | OK | Yes |
Practice location
7408 S Yale AveTulsa, OK 74136-7029
Phone 918-794-6700
Mailing address
13406 S 125th East PlBroken Arrow, OK 74011-7413
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