Edwards, Carolyn S

Edwards, Carolyn S is an sole proprietor health care provider with primary practice located at 602 S 3Rd St , Mcalester OK 74501-5822. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Edwards, Carolyn S can be contacted via phone (918) 423-2031.

Contact Information

Primary practice address
602 S 3Rd St Mcalester OK 74501-5822
Fax: (918) 423-2115
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 933 Oklahoma

Profile Details

NPI number 1750339370
LBN Legal business name Edwards, Carolyn S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Aug 31st, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750339370 NPPES
Oklahoma Other 731175347002 BLUECROSSBLUESHIELD OPTIA
Oklahoma Other 731175347002 BLUECROSSBLUESHIELD OPTIA
Oklahoma MEDICAID 100768860B BLUECROSSBLUESHIELD OPTIA
Oklahoma MEDICAID 100763220 A BLUECROSSBLUESHIELD OPTIA
Oklahoma Other OKA100394 BLUECROSSBLUESHIELD OPTIA

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