Organization
MIDTOWN EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN M FORD (PRACTICE ADMINISTRATOR)
(918) 599-0202
Entity
Organization
Contact information
Practice address
1701 S PEORIA AVE, 200, TULSA, OK 74120-6801
(918) 599-0202
(918) 599-0279
Mailing address
1701 S PEORIA AVE, 200, TULSA, OK 74120-6801
(918) 599-0202
(918) 599-0279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2147
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094000A
—
OK
01
—
900522514
MEDICARE
OK
01
—
DF0218
RAILROAD MEDICARE
OK
Enumeration date
10/03/2006
Last updated
03/13/2009
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