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NPI Code Detail

MEDICARE: OKLAHOMA EYE CENTER OPTICAL

MEDICARE: OKLAHOMA EYE CENTER OPTICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesOK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295738011
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA EYE CENTER OPTICAL
Provider Business Mailing Address
First Line : 9343 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5702
Country : US
Telephone Number : 918-250-4554
Fax Number : 918-307-1943
Provider Business Practice Location Address
First Line : 9343 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5702
Country : US
Telephone Number : 918-250-4554
Fax Number : 918-307-1943
Authorized Official
Title or Position : OWNER
Name : DR. CARL M. FISHER
Credential : D.O.
Telephone Number : 918-250-4554
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

1154302354 — TIMOTHY J NICKEL MD
Practice Location Address:
9311 S MINGO RD
TULSA, OK
74133-5702
Practice Phone: 918-307-1613
Practice Fax: 918-307-2454
1376524561 — DR. JANE T PURSER MD
Practice Location Address:
9311 S MINGO RD
TULSA, OK
74133-5702
Practice Phone: 918-307-1613
Practice Fax: 918-307-2454
1760463947 — DR. DAVID S HUREWITZ MD
Practice Location Address:
9311 S MINGO RD
TULSA, OK
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Practice Fax: 918-307-2454
1356322556 — JAMES T LOVE JR. MD
Practice Location Address:
9311 S MINGO RD
TULSA, OK
74133-5702
Practice Phone: 918-307-1613
Practice Fax: 918-307-2454
1265413462 — LODIE G NAIMEH MD
Practice Location Address:
9311 S MINGO RD
TULSA, OK
74133-5702
Practice Phone: 918-307-1613
Practice Fax: 918-307-2454
1447299151 — DR. KATHRYN C BROWN M.D.
Practice Location Address:
9311 S MINGO RD
TULSA, OK
74133-5702
Practice Phone: 918-307-1613
Practice Fax: 918-307-2454

Directions to “OKLAHOMA EYE CENTER OPTICAL ” Practice Location

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