Roberts, John Matthew

Roberts, John Matthew is an individual health care provider with primary practice located at 1717 S Utica Ave Suite 103 The Eye Institute Inc, Tulsa OK 74104-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roberts, John Matthew can be contacted via phone (918) 743-2319.

Contact Information

Primary practice address
1717 S Utica Ave Suite 103 The Eye Institute Inc Tulsa OK 74104-5317
Phone: (918) 743-2319
Fax: (918) 749-8870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 3314 Oklahoma

Profile Details

NPI number 1730174954
LBN Legal business name Roberts, John Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730174954 NPPES
Oklahoma MEDICAID 100150630A

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