Individual
JOHN MATTHEW ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1717 S UTICA AVE, SUITE 103 THE EYE INSTITUTE INC, TULSA, OK 74104-5317
(918) 743-2319
(918) 749-8870
Mailing address
1717 S UTICA AVE, SUITE 103 THE EYE INSTITUTE INC, TULSA, OK 74104-5317
(918) 743-2319
(918) 749-8870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3314
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100150630A
—
OK
Enumeration date
09/14/2005
Last updated
07/17/2008
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