Provider Demographics
NPI:1568348571
Name:WARBURTON, CARLEY MIRANDA (OD)
Entity type:Individual
Prefix:DR
First Name:CARLEY
Middle Name:MIRANDA
Last Name:WARBURTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CARLEY
Other - Middle Name:MIRANDA
Other - Last Name:BRASIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:OKMULGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74447-6913
Mailing Address - Country:US
Mailing Address - Phone:918-752-7447
Mailing Address - Fax:
Practice Address - Street 1:309 S ANN ARBOR AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-1112
Practice Address - Country:US
Practice Address - Phone:405-948-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3327152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist