Doctor Name: | DR. REBECCA LYNN POAGE |
NPI Number: | 1245210020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OD |
License Number: | 2430 |
Business Practice Address: | 500 N Financial Ter Suite A Mustang, OK - 730644432 |
Business Phone Number: | 4052560126 |
Business Fax Number: | 4052560563 |
Mailing Address: | 500 N Financial Ter, Suite A MUSTANG |
State: | OK |
Postal Code: | 730644432 |
Phone Number: | 4052560126 |
Fax Number: | 4052560563 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2430 |
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 |