Provider Demographics
NPI:1992083737
Name:RAUPE, JAMES BARTHOLOMEW (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BARTHOLOMEW
Last Name:RAUPE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2001 S ELM PL
Mailing Address - Street 2:B
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7031
Mailing Address - Country:US
Mailing Address - Phone:918-455-4545
Mailing Address - Fax:918-455-4545
Practice Address - Street 1:2001 S ELM PL
Practice Address - Street 2:B
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7031
Practice Address - Country:US
Practice Address - Phone:918-455-4545
Practice Address - Fax:918-455-4545
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK2707152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist