Provider Demographics
NPI:1336540723
Name:MCDANIELS PLLC
Entity Type:Organization
Organization Name:MCDANIELS PLLC
Other - Org Name:LOOK EYECARE & EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCDANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-992-5337
Mailing Address - Street 1:3746 S PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3265
Mailing Address - Country:US
Mailing Address - Phone:918-992-5337
Mailing Address - Fax:918-992-5338
Practice Address - Street 1:3746 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-3265
Practice Address - Country:US
Practice Address - Phone:918-992-5337
Practice Address - Fax:918-992-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2661152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty