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DR. LEONARD DUANE HART O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1518907765

Individual Registrant:
DR. LEONARD DUANE HART O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1103 W CENTER ST  COLLINSVILLE, OK 74021-3108 US
Tel: 918-371-3339  Fax: 918-371-9600

Contact information for business:
1103 W CENTER ST PO BOX 640 COLLINSVILLE, OK 74021-3108 US
Tel: 918-317-3339  Fax: 918-371-9600

Registration Information:
NPI: 1518907765
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
OK981

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100763740AOK05




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