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Organization

KOLKER VISION CARE

Active
Other names
David R Kolker
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID R KOLKER O.D. (OWNER)
(918) 592-2020
Entity
Organization

Contact information

Practice address
5910 S LEWIS AVE, TULSA, OK 74105-7112
(918) 592-2020
(918) 743-8102
Mailing address
5910 S LEWIS AVE, TULSA, OK 74105-7112
(918) 592-2020
(918) 743-8102

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1110
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4305
SUPERIOR VISION
01
447729031003
BCBS OF OK
OK
01
917671
EYEMED
01
9185922020
VSP
Enumeration date
02/22/2007
Last updated
03/25/2008
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