Organization
TRIAD EYE INSTITUTE PLLC
Active
Other names
Triad Eye Medical Clinic and Cataract Institute PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC L ABEL D.O. (OWNER)
(918) 252-2020
Entity
Organization
Contact information
Practice address
3131 MILITARY BLVD, MUSKOGEE, OK 74401-2290
(918) 687-6600
(918) 307-1983
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 307-1983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
731288036
OK
207W00000X
Ophthalmology Physician
Primary
731288036
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100738620D
—
OK
01
—
490000830
RAILROAD MEDICARE
OK
01
—
490004258
RAILROAD MEDICARE
OK
01
—
CO5028
RAILROAD MEDICARE
OK
Enumeration date
03/12/2007
Last updated
07/13/2015
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