# TRIAD SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Triad Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083030597
- **Authorized official:** RYAN PATRICK CONLEY (OWNER)
- **Authorized official phone:** (918) 252-2020

## Contact information

- **Practice address:** 63223 E 290 RD, GROVE, OK 74344-7552
- **Practice address phone:** (918) 252-2020
- **Practice address fax:** (918) 307-1983
- **Mailing address:** 6140 S MEMORIAL DR, TULSA, OK 74133-1933
- **Mailing address phone:** (918) 252-2020
- **Mailing address fax:** (918) 307-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2014
- **Last updated:** 06/25/2019