Organization
OKLAHOMA RETINA PLLC
Active
Organization
OKLAHOMA RETINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL ELIAS SROUJI MD (OWNER)
(405) 443-3350
Entity
Organization
Contact information
Practice address
3520 NW 58TH ST STE A100, OKLAHOMA CITY, OK 73112-4407
(405) 443-3350
(405) 443-3341
Mailing address
3520 NW 58TH ST STE A100, OKLAHOMA CITY, OK 73112-4407
(405) 443-3350
(405) 443-3341
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071590A
—
OK
01
—
448706812005
BLUE LINCS
—
01
—
731532364731120000
TRICARE
—
Enumeration date
10/24/2006
Last updated
04/24/2025
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