IndividualActive
Ronald Brazell, OPTICIAN CERT ABOC
NPI 1396941712 · Optician · Oklahoma City, OK
Provider details
- NPI number
- 1396941712
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN CERT ABOC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1900 Nw 39th St
Oklahoma City, OK 73118
Phone: (405) 524-5367
Fax: (405) 524-5367
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Nw 39th St
Oklahoma City, OK 73118
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2008-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.