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Organization

TULSA EYE CENTER PLLC

Active
Parent organization
TULSA EYE CENTER PLLC
Other names
20/20 OPTICAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
TULSA EYE CENTER PLLC
Authorized official
DR. MANEK E ANKLESARIA MD (OWNER/PRES)
(918) 745-9800
Entity
Organization

Contact information

Practice address
4815 S HARVARD AVE STE 210, TULSA, OK 74135-3066
(918) 895-7855
(918) 745-9800
Mailing address
4815 S HARVARD AVE STE 210, TULSA, OK 74135-3066
(918) 895-7855
(918) 745-9800

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
13574
OK
156FX1800X
Optician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200032280C
OK
Enumeration date
04/17/2007
Last updated
03/27/2019
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