Denise Roddy
Optometrist Optomitrist - Corneal and Contact Lenses
6351 E. 67th Pl.
Tulsa
, Oklahoma 74136-3506
Denise Roddy
Optometrist Optomitrist - Corneal and Contact Lenses
6351 E. 67th Pl.
Tulsa
, Oklahoma 74136-3506
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Denise Roddy
- Po Box 990
- Jenks, OK
- Zip : 74037-0990
- Phone :
Second Address
- Denise Roddy
- 6351 E. 67th Pl.
- Tulsa, OK
- Zip : 74136-3506
- Fax : (918) 497-2022
- Phone : (918) 497-2002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1185 | OK |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1185 | OK |
National Provider Identifier
| NPI | 1013010289 |
|---|---|
| Provider Name | Denise Roddy |
| First Address | Jenks, OK 74037-0990 |
| Second Address | Tulsa, OK 74136-3506 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 24/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100762210A | (05) | OK |
| T40627 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.