Provider Demographics
NPI:1023427176
Name:WRIGHT, CASEY L (OD)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 N 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-2134
Mailing Address - Country:US
Mailing Address - Phone:580-920-0400
Mailing Address - Fax:580-920-9117
Practice Address - Street 1:1305 N 16TH AVE
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-2134
Practice Address - Country:US
Practice Address - Phone:580-920-0400
Practice Address - Fax:580-920-9117
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-02
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2834152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist