Organization
TRIAD EYE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANDERSON (EXECUTIVE DIRECTOR)
(918) 252-2020
Entity
Organization
Contact information
Practice address
1001 E WYANDOTTE AVE, MCALESTER, OK 74501-5433
(918) 302-9232
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
OK
207W00000X
Ophthalmology Physician
Primary
—
OK
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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