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General NPI Number Information
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NPI Number | 1720933906
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Entity Type | Organization
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Legal Business Name | EYECARE ASSOCIATES OF SOUTH TULSA PC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 300 CREEK PL
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City | OKMULGEE
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State | OK
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Zip | 74447-6730
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Country | US
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Telephone | 918-756-0316
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Fax |
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Provider Business Mailing Address
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Address Line | 10010 E 81ST ST STE 100
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City | TULSA
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State | OK
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Zip | 74133-4558
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Country | US
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Telephone | 918-520-2020
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DANIEL W LANGLEY
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Credential | DO
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Telephone | 918-250-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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