OrganizationActive
Chickasaw Nation Division of Health
NPI 1376652180 · Optician · Ada, OK
Provider details
- NPI number
- 1376652180
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Richard Boatright, Oklahoma Optical Manager(580) 332-2796
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1005 N Country Club Rd
Ada, OK 74820-2847
Phone: (580) 332-2796
Fax: (580) 421-4523
Approximate (ZIP-level) locationGet directions
Mailing address
1005 N Country Club Rd
Ada, OK 74820-2847
Other names (DBA / former)
- Doing business as
- Oklahoma Optical
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2015-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.