Organization
VISION SOURCE-OKC SOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MCKINNEY (ADMINISTRATOR)
(405) 691-3319
Entity
Organization
Contact information
Practice address
10101 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73159-6929
(405) 691-3319
(405) 691-1377
Mailing address
10101 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73159-6929
(405) 691-3319
(405) 691-1377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK950
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760060A
—
OK
01
—
1629156617
BCBS OK FEDERAL
OK
Enumeration date
11/01/2006
Last updated
07/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us