Organization
EYECARE ASSOCIATES OF SOUTH TULSA PC
Active
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
Update your record
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