Retina and Vitreous of Oklahoma, P.L.L.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA AND VITREOUS OF OKLAHOMA, P.L.L.C.

Practice address

4415 S Harvard Ave
Ste 202
Tulsa, OK 74135-2620

Phone

(918) 749-7667

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

William Delgado, M.D.

Title

Owner

Phone

(918) 749-7667

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114940293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352620",
            "telephone_number": "918-749-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352620",
            "telephone_number": "918-749-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA AND VITREOUS OF OKLAHOMA, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-749-7667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.