Provider Demographics
NPI:1134099005
Name:WELLS HIBBETS PC PLLC
Entity type:Organization
Organization Name:WELLS HIBBETS PC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-994-4450
Mailing Address - Street 1:1751 W ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-1462
Mailing Address - Country:US
Mailing Address - Phone:918-994-4450
Mailing Address - Fax:918-994-4451
Practice Address - Street 1:1751 W ALBANY ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-1462
Practice Address - Country:US
Practice Address - Phone:918-994-4450
Practice Address - Fax:918-994-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty