Tyler W Glaze, O.D. Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1285947432
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2653 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-07-16
- Last updated
- 2015-04-02
Practice location
16135 N May Ave, Suite A
Edmond, OK 73013-8976
(405) 751-5638