Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY BOUCHER, O.D
Active Sole ProprietorDR. KELLY BOUCHER, O.D is a Optometrist healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1528476207 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1528476207
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2014 (12.034602304559 yrs)
- Last Updated
- Jan 11, 2021
- License
-
2802 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4913 W RENO AVEOKLAHOMA CITY, OK, 731276339Browse OK providers · Browse ZIP 73127
- Phone
- 4059484900
- Fax
- 4059484933
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| DR. TAMI RA ROSS | O.D. | 1285638627 |
| DR. PAUL BRIAN SNOWDEN | O.D. | 1235121872 |
| DR. STEPHANIE MICHELLE RICE | O.D. | 1316931694 |
| SHERRI C EAKINS | O. D | 1235123506 |
| MARK B PRIVOTT | O. D. | 1164416343 |
| DR. GARY ROBERT FOX | O.D. | 1023099801 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.