South Tulsa Vision Development

Primary specialty

OptometristTaxonomy code 152W00000X

License

2784 Issued in OK

Legal business name

SOUTH TULSA VISION DEVELOPMENT

Practice address

8988 S Sheridan Rd Ste D1
Tulsa, OK 74133-5035

Phone

(918) 949-4002

Fax

(918) 949-4021

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Megan M Ford

Title

Credentialing and Ar Specialist

Phone

(918) 872-8735

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1053803635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8988 S SHERIDAN RD STE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335035",
            "telephone_number": "918-949-4002",
            "fax_number": "918-949-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 S SHERIDAN RD STE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335035",
            "telephone_number": "918-949-4002",
            "fax_number": "918-949-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULSA VISION DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING AND AR SPECIALIST",
        "authorized_official_telephone_number": "918-872-8735",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200545700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Tulsa Retina
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• South Tulsa Ultrasound Associates, L.L.C. (Imaging Solutions of Tulsa)
• South Tulsa Urgent Care LLC
• South Wind Women's Center
• Skylar Southall
• Southard Family Dental, LLC
• Denny W Southard, DDS
• Kinsley Southard

• 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 May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.