Mark B Privott, O. D.

NPI #1164416343 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1164416343
Entity Type: Individual
Name: Mark B Privott, O. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O. D.
Enumeration Date: Sep 2, 2005
Last Updated: Apr 16, 2008

Practice Location

Address: 4205 MCAULEY BLVD
City: Oklahoma City
State: Oklahoma
ZIP Code: 73120-8347
Phone: (405) 755-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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