Healthcare Provider Details

I. General information

NPI: 1164619110
Provider Name (Legal Business Name): TULSA EYE CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 E 81ST ST STE 3700
TULSA OK
74137-4257
US

IV. Provider business mailing address

2448 E 81ST ST STE 3700
TULSA OK
74137-4257
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-4122
  • Fax: 918-492-7451
Mailing address:
  • Phone: 918-492-4122
  • Fax: 918-492-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number13121
License Number StateOK

VIII. Authorized Official

Name: CYNDI EAGLETON
Title or Position: OFFICE MANAGER
Credential:
Phone: 918-492-4122