Pediatric Ophthalmology, Pc in Tulsa - Eyewear Supplier
Pediatric Ophthalmology, Pc - NPI 1053423947
Pediatric Ophthalmology, Pc is a Eyewear Supplier in Tulsa, Oklahoma. Pediatric Ophthalmology, Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Pediatric Ophthalmology, Pc is 1053423947. The last update date is 2020-01-23.
Pediatric Ophthalmology, Pc's current location address is 4606 E 67th St Ste 400, Tulsa, Oklahoma. You can contact this provider via phone number 9189868585 and fax number 9187288492. The mailing address for Pediatric Ophthalmology, Pc is 4606 E 67th St Ste 400, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Ophthalmology, Pc |
|---|---|
| Address | 4606 E 67th St Ste 400, Tulsa, Oklahoma |
| Phone Number | 9189868585 |
| Fax Number | 9187288492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Denslow Thane Gary |
| Credentials | MD |
| Telephone Number | 9189499898 |
NPI Number Detail
| NPI Number | 1053423947 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-01-23 |
Provider Mailing Address Detail
| Address | 4606 E 67th St Ste 400 |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741364950 |
| Phone Number | 9189868585 |
| Fax Number | 9187288492 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 38654 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100735860B | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pediatric Ophthalmology, Pc by the Centers for Medicare & Medicaid Services?
The Pediatric Ophthalmology, Pc has been assigned the NPI (National Provider Identifier) 1053423947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Pediatric Ophthalmology, Pc is located?
The Pediatric Ophthalmology, Pc is situated at the following address: 4606 E 67Th St Ste 400, Tulsa, OK, 741364950.
What is Pediatric Ophthalmology, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Ophthalmology, Pc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did the Pediatric Ophthalmology, Pc receive the assignment of its 1053423947 from the Centers for Medicare & Medicaid Services?
The Pediatric Ophthalmology, Pc was issued its 1053423947 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information pertaining to Pediatric Ophthalmology, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pediatric Ophthalmology, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-23.
Address: 4000 E Us Highway 377, Granbury, TX
Address: 221 W Stewart Ave, Medford, OR
Address: 17562 Highway 441, Mount Dora, FL
Address: 2001 College St, Jacksonville, FL
Address: 711 N Custer Ave, Grand Island, NE
Address: 630 N Morley St, Moberly, MO
Address: 3120 N Plum St, Hutchinson, KS
Address: 709 S Riverside Ave, Medford, OR
Address: 251 E Baltimore St, Hagerstown, MD
Address: 1601 38th Ave N, St Petersburg, FL
Address: 1111 Professional Blvd, Dalton, GA
Address: 3100 W 70th St, Edina, MN
Address: 1719 Tower Dr W, Stillwater, MN
Address: 102 Intercom Drive, Madison, AL
Address: 615 S Mill St, Fergus Falls, MN