Doctor Name: | MARTIN DEE O'DONNELL |
NPI Number: | 1013173715 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 2576 |
Business Practice Address: | 121 W Main St Holdenville, OK - 748483229 |
Business Phone Number: | 4053792020 |
Business Fax Number: | 4053792019 |
Mailing Address: | Po Box 897, HOLDENVILLE |
State: | OK |
Postal Code: | 748480897 |
Phone Number: | 4053792020 |
Fax Number: | 4053792019 |
NPI Enumeration Date: | 08/01/2008 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2576 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |