DRK Vision Group PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1110 Issued in OK

Legal business name

DRK VISION GROUP PLLC

Practice address

11711 S Hudson PL
Tulsa, OK 74137-8530

Phone

(918) 298-4969

Fax

(918) 298-4594

NPI assigned

Feb 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Kolker, O.D.NPI 1073618211

Title

Sole Member

Phone

(918) 298-4969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Robert Kolker, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1073618211
  Medicare reassignment NPD Authorized official
• Sierra Vogt Suarez, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1740560267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1043583545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 S HUDSON PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378530",
            "telephone_number": "918-298-4969",
            "fax_number": "918-298-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 S HUDSON PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378530",
            "telephone_number": "918-298-4969",
            "fax_number": "918-298-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRK VISION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "918-298-4969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Driscoll
• Rebecca Jewel Driver, RN
• Driz Rehab Group, Professional LTD. Co.
• Clark Apacible Driz, D.P.T
• Meliza Driz, P.T., M.S.
• Dylan Droege
• Lee Reinhold Droemer, M.D.
• Kalese Droge
• Rachel Drost, MT-BC
• DRP Billing Service, LLC

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.