Chad J Edwards, O.D.

NPI #1063436079 in Owasso, Oklahoma

Provider Information

NPI Number: 1063436079
Entity Type: Individual
Name: Chad J Edwards, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 26, 2006
Last Updated: Dec 1, 2010

Practice Location

Address: 12455 E 100TH ST N # 110
City: Owasso
State: Oklahoma
ZIP Code: 74055-4600
Phone: (918) 274-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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