Organization
EYE RESTORATION CLINIC
Active
Other names
Elsie M. Joy, B.C.O.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSIE M. JOY B.C.O. (OCULARIST)
(918) 664-6544
Entity
Organization
Contact information
Practice address
4606 S GARNETT RD, #302, TULSA, OK 74146-5231
(918) 664-6544
(918) 664-0668
Mailing address
4606 S GARNETT RD, #302, TULSA, OK 74146-5231
(918) 664-6544
(918) 664-0668
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NON REQUIRED
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259450001
RR MEDICARE
OK
01
—
546768030001
BLUE LINCS HMO
OK
Enumeration date
02/03/2007
Last updated
04/20/2008
Update your record
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