Tulsa Vision Clinic, Inc.

LBN: Tulsa Vision Clinic, Inc.
Tulsa Vision Clinic, Inc. is an health care organization with primary practice located at 4433 South Harvard Ave. , Tulsa OK 74135-2604. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Tulsa Vision Clinic, Inc. can be contacted via phone (918) 743-6334, or through Cheatham, John Brian via phone (918) 743-6334.

Contact Information

Primary practice address
4433 South Harvard Ave. Tulsa OK 74135-2604
Fax: (918) 743-6369
Website:
Authorized official contact:
Name: Cheatham, John Brian Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 2356 Oklahoma

Profile Details

NPI number 1164557625
LBN Legal business name Tulsa Vision Clinic, Inc.
DBA Doing business as
Authorized official Cheatham, John Brian Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164557625 NPPES
Oklahoma MEDICAID 200109710A

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