Search › Oklahoma › 224Z00000X
Avery Blackburn, COTA/L
NPI 1235728866 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1620 Midtown Pl
Midwest City, OK 73130 - Phone
- (580) 641-2681
- Organisation at this address
- Visionary Realm Optometry Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma