Provider Demographics
NPI:1629029988
Name:HARRINGTON, TERRESA R (OD)
Entity Type:Individual
Prefix:DR
First Name:TERRESA
Middle Name:R
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MCKOWN DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6601
Mailing Address - Country:US
Mailing Address - Phone:405-329-5613
Mailing Address - Fax:405-360-7747
Practice Address - Street 1:2201 MCKOWN DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6601
Practice Address - Country:US
Practice Address - Phone:405-329-5613
Practice Address - Fax:405-360-7747
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2388152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
238331101Medicare ID - Type Unspecified
U97123Medicare UPIN