Provider Demographics
NPI:1821473232
Name:COX, WHITNEY NICOLE (OD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:NICOLE
Last Name:COX
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 1:1333 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3830
Mailing Address - Country:US
Mailing Address - Phone:405-478-4444
Mailing Address - Fax:404-478-4497
Practice Address - Street 1:1333 W 33RD ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3830
Practice Address - Country:US
Practice Address - Phone:405-478-4444
Practice Address - Fax:405-478-4497
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2842152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist