Organization
TULSA OK OPHTHALMOLOGY ASC LLC
Active
Other names
Eye Surgery Center of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
7191 S YALE AVE, TULSA, OK 74136-6326
(918) 524-1600
(918) 524-1614
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0059
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747420A
—
OK
01
—
490005545
RAILROAD MEDICARE
OK
Enumeration date
02/13/2006
Last updated
06/24/2022
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