Richard W Varley, O.D.
Individual provider Active NPI Optometrist · Chickasha, OK
NPI 1699778449 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1699778449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 930 (OK)
- Practice address
- 508 W Chickasha Ave
Chickasha, OK 73018-2412 - Phone
- (405) 222-1270
- Fax
- (405) 224-5093
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 930 | OK | MD | Hearing Instrument Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 930 | OK | Yes |
Addresses
Primary practice location
508 W Chickasha Ave
Chickasha, OK 73018-2412
Mailing address
508 W Chickasha Ave
Chickasha, OK 73018-2412
Phone (405) 222-1270
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100763150A | Medicaid | OK |
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.