Optometrist
Dr. KELLY BOUCHER O.D
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528476207 · enumerated 2014-07-25 · record updated 2021-01-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4913 W RENO AVE, OKLAHOMA CITY, OK, 73127-6339 (405) 948-4900 Fax (405) 948-4933 Google Maps Apple Maps OpenStreetMap
- Practice location 4913 W RENO AVE, OKLAHOMA CITY, OK, 73127-6339 (405) 948-4900 Fax (405) 948-4933 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 2802 OK
In this directory
Locations and evidence
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Practice location
OKLAHOMA CITY, OK, 731276339
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.