Organization
SOUTH TULSA VISION DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN M FORD (CREDENTIALING AND AR SPECIALIST)
(918) 872-8735
Entity
Organization
Contact information
Practice address
8988 S SHERIDAN RD STE D1, TULSA, OK 74133-5035
(918) 949-4002
(918) 949-4021
Mailing address
8988 S SHERIDAN RD STE D1, TULSA, OK 74133-5035
(918) 949-4002
(918) 949-4021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2784
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200545700A
—
OK
Enumeration date
05/31/2018
Last updated
05/31/2018
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