Organization
NJOY TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M HOLSTED O.D. (PRESIDENT, CEO)
(405) 842-6060
Entity
Organization
Contact information
Practice address
1601 S EUCALYPTUS AVE, SUITE 200, BROKEN ARROW, OK 74012-6053
(918) 398-6565
(918) 398-6566
Mailing address
1601 S EUCALYPTUS AVE, SUITE 200, BROKEN ARROW, OK 74012-6053
(918) 398-6565
(918) 398-6566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
OK
207W00000X
Ophthalmology Physician
Primary
—
OK
Other
Enumeration date
06/10/2014
Last updated
06/13/2014
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