Atchley, Jody W.
Atchley, Jody W. is an sole proprietor health care provider with primary practice located at 2204 N Highway 81 , Duncan OK 73533-1221. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Atchley, Jody W. can be contacted via phone (580) 255-9717.Contact Information
Primary practice address
2204 N Highway 81
Duncan OK 73533-1221
Phone: (580) 255-9717
Fax: (580) 255-7598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2056 | Oklahoma |
Profile Details
| NPI number | 1730244302 |
|---|---|
| LBN Legal business name | Atchley, Jody W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Feb 27th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730244302 | NPPES |
| Oklahoma | MEDICAID | 100761730A |
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