Provider Demographics
NPI:1740617778
Name:RAY, LINDA LEA ANN (OD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEA ANN
Last Name:RAY
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:619 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-4813
Mailing Address - Country:US
Mailing Address - Phone:405-799-7706
Mailing Address - Fax:405-799-7715
Practice Address - Street 1:619 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-4813
Practice Address - Country:US
Practice Address - Phone:405-799-7706
Practice Address - Fax:405-799-7715
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2022-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK2790152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist