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Organization

EYECARE ASSOCIATES OF SOUTH TULSA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY PHILLIPS (ADMINISTRATION)
(918) 250-2020
Entity
Organization

Contact information

Practice address
10010 E 81ST ST STE 100, TULSA, OK 74133-4558
(918) 250-2020
(918) 250-8910
Mailing address
10010 E 81ST ST STE 100, TULSA, OK 74133-4558
(918) 250-2020
(918) 250-8910

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2147
OK
207W00000X
Ophthalmology Physician
Primary
4088
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200094000A
OK
01
500522178
MEDICARE
OK
01
6708040001
DMEMACS
OK
01
DF5413
RAILROAD MEDICARE
OK
Enumeration date
10/03/2006
Last updated
11/10/2025
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