IndividualActive
Marilyn Hendrickson
NPI 1750407391 · Optician · Tahlequah, OK
Provider details
- NPI number
- 1750407391
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- NO LICENSE REQUIRED (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
20242 Stick Ross Mountain Rd
Tahlequah, OK 74464-7374
Phone: (918) 456-1133
Fax: (918) 456-1133
Approximate (ZIP-level) locationGet directions
Mailing address
20242 Stick Ross Mountain Rd
Tahlequah, OK 74464-7374
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.