Provider Demographics
NPI:1548459555
Name:LAURA K RIGGINS OD PC
Entity type:Organization
Organization Name:LAURA K RIGGINS OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:RIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-245-9546
Mailing Address - Street 1:401 N MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-7555
Mailing Address - Country:US
Mailing Address - Phone:918-245-9546
Mailing Address - Fax:918-245-9547
Practice Address - Street 1:401 N MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-7555
Practice Address - Country:US
Practice Address - Phone:918-245-9546
Practice Address - Fax:918-245-9547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2285152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty