Provider Demographics
NPI:1629806203
Name:DEARMAN, KARLEE NICOLE (OD)
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:NICOLE
Last Name:DEARMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KARLEE
Other - Middle Name:NICOLE
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73522-0899
Mailing Address - Country:US
Mailing Address - Phone:580-482-1756
Mailing Address - Fax:580-482-4279
Practice Address - Street 1:809 E TAMARACK RD
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-1231
Practice Address - Country:US
Practice Address - Phone:580-482-1756
Practice Address - Fax:580-482-4279
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3256152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist