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Next Update: Thursday, December 19, 2024 2:50 AM CST
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NICKLAS, THOMAS ORVILLE
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
63223 E. 290 RD
GROVE OK 74344-7552
Address last updated on 4/6/2015 |
| Phone #: |
(918) 786-3937 |
| Fax #: |
(918) 787-7940 |
| County: |
DELAWARE |
| License: |
7930 |
| Dated: |
6/13/1962 |
| Expires: |
6/1/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Ophthalmology |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
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1962 |
| CME Year: |
2016 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OPHTHALMOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
HealthChoice
Preferred Community Choice
Railroad Medicare
SoonerCare PPO |
| Hospital Privileges: |
INTEGRIS Grove General Hospital
Grove, OK
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| Locations: |
Hours: |
Languages: |
63223 E. 290 RD
GROVE OK 74344-7552
Phone #:
(918) 786-3937
Fax #:
(918) 787-7940 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: 9:00AM - 5:00PM
Sun: 9:00AM - 5:00PM |
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