Provider Demographics
NPI:1356364681
Name:MURRAY, PATRICIA L (OD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
Last Name:MURRAY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OKC VA HCS
Mailing Address - Street 2:921 NE 13TH ST
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104
Mailing Address - Country:US
Mailing Address - Phone:405-456-2057
Mailing Address - Fax:405-456-2051
Practice Address - Street 1:OKLAHOMA CITY VAMC
Practice Address - Street 2:921 NE 13TH ST
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104
Practice Address - Country:US
Practice Address - Phone:405-456-2057
Practice Address - Fax:405-456-2051
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3088152W00000X, 152WL0500X
MOT03071152WL0500X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO18803064OtherBLUE CROSS BLUE SHIELD
MO316710409Medicaid
MO18803074OtherBLUE CROSS BLUE SHIELD
MOM523412Medicare PIN
MO18803064OtherBLUE CROSS BLUE SHIELD
MO6313412Medicare PIN
MOP00379868Medicare PIN
MO410027802Medicare PIN