Provider Demographics
NPI:1942746946
Name:DR. MINDI COMBS, PLLC
Entity type:Organization
Organization Name:DR. MINDI COMBS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:D
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:405-360-3590
Mailing Address - Street 1:1350 EAST IMHOFF ROAD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071
Mailing Address - Country:US
Mailing Address - Phone:405-360-3590
Mailing Address - Fax:405-360-0546
Practice Address - Street 1:1350 EAST IMHOFF ROAD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071
Practice Address - Country:US
Practice Address - Phone:405-360-3590
Practice Address - Fax:405-360-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2771152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200505520AMedicaid