Eye Care for Tulsa Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

10268 Issued in OK

Legal business name

EYE CARE FOR TULSA INC.

Practice address

3906 S Peoria Ave
Tulsa, OK 74105-3131

Phone

(918) 585-1523

Fax

(918) 584-5520

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Amy Mellissa Jones

Title

Ar Manager

Phone

(918) 585-1523

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1215064308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053131",
            "telephone_number": "918-585-1523",
            "fax_number": "918-584-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053131",
            "telephone_number": "918-585-1523",
            "fax_number": "918-584-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FOR TULSA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MELLISSA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "918-585-1523"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1063",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1020",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2437",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "10268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CS3822",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Walter Jay Exon, MD
• Jorgen Eyabi, DO
• Texy Eyadiel, APRN-CNP
• Eye Care Optical
• Eye Restoration Clinic
• Eyecare Associates of South Tulsa PC
• Eyecare Associates of South Tulsa PC
• Eyecare Associates of South Tulsa PC

• All providers in Tulsa, OK
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.