Organization
EYECARE OPTICAL, LLC
Active
Parent organization
EYECARE ASSOCIATES OF SOUTH TULSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYECARE ASSOCIATES OF SOUTH TULSA
Authorized official
MS. MEGAN M FORD (PRACTICE ADMINISTRATOR)
(918) 250-2020
Entity
Organization
Contact information
Practice address
10010 E 81ST ST, 101, TULSA, OK 74133-4556
(918) 250-4554
(918) 307-1943
Mailing address
10010 E 81ST ST, 101, TULSA, OK 74133-4556
(918) 250-4554
(918) 307-1943
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2447
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114161437
NPI
OK
05
—
200251660B
—
OK
Enumeration date
04/30/2009
Last updated
06/24/2010
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