Individual
ANTHONY ECONOMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2865 E SKELLY DR STE 250, TULSA, OK 74105-6233
(918) 317-0022
(855) 327-9828
Mailing address
2865 E SKELLY DR STE 250, TULSA, OK 74105-6233
(918) 317-0022
(855) 327-9828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
3145
OK
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
3145
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137560A
—
OK
01
—
1101708
FIRST HEALTH
OK
01
—
1732450
UNITED HEALTHCARE
OK
01
—
5533545
AETNA
OK
Enumeration date
05/24/2005
Last updated
02/10/2021
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