Organization
BOB KEATHLEY OPTICIANS LLC
Active
Other names
Budget Optical
Organization subpart
No
Provider details
NPI number
Authorized official
BOB R. KEATHLEY (OWNER)
(918) 494-2671
Entity
Organization
Contact information
Practice address
6025 S SHERIDAN RD, TULSA, OK 74145-9211
(918) 494-2671
(918) 496-1993
Mailing address
6025 S SHERIDAN RD, TULSA, OK 74145-9211
(918) 494-2671
(918) 496-1993
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
020779
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768340
—
OK
Enumeration date
05/04/2007
Last updated
04/12/2011
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