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Brett Enyart, Od, PLLC

Optometrist in Skiatook, OK. Organization (NPI-2).

NPI number1932458528
StatusActive
Last updated in NPPESJul 18, 2013

Details

NPI
1932458528
Entity type
Organization (NPI-2)
Legal business name
Brett Enyart, Od, PLLC
Organization subpart
No
Enumeration date
Aug 29, 2012
Last updated
Jul 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2301OKYes

Practice location

5335 W Rogers Blvd
Ste. B
Skiatook, OK 74070-5284

Phone 918-396-4440 · Fax 918-396-4449

Mailing address

5335 W Rogers Blvd
Ste. B
Skiatook, OK 74070-5284

Phone 918-396-4440 · Fax 918-396-4449

Authorized official

Brett M Enyart
President
9186408010

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