Organization
EYE CARE FOR TULSA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MELLISSA JONES (AR MANAGER)
(918) 585-1523
Entity
Organization
Contact information
Practice address
3906 S PEORIA AVE, TULSA, OK 74105-3131
(918) 585-1523
(918) 584-5520
Mailing address
3906 S PEORIA AVE, TULSA, OK 74105-3131
(918) 585-1523
(918) 584-5520
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1020
OK
152W00000X
Optometrist
1063
OK
152W00000X
Optometrist
2437
OK
207W00000X
Ophthalmology Physician
Primary
10268
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100735490A
—
OK
01
—
CS3822
RAIL ROAD MEDICARE
OK
Enumeration date
02/27/2007
Last updated
07/26/2011
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