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NPI 1114663085

IndividualActive

Courtney Simon

NPI 1114663085 · Optometrist · Stilwell, OK

Provider details

NPI number: 1114663085
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Sex: Female
Sole proprietor: No
License: 3197 (OK)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 3197 (OK)
Eye and Vision Services Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

471688 Ok-51

Stilwell, OK 74960

Phone: (918) 696-8800

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

117 S Blackstone

Vian, OK 74962-1437

Additional practice locations (1)

117 S Blackstone
Vian, OK 74962-1437
Phone: (918) 773-5045

Registry dates

Enumerated: 2022-05-12
Last updated: 2026-02-06
Certified: 2026-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Courtney Simon — NPI 1114663085, Stilwell, OK | NPI Central