Organization Active NPI

Njoy Tulsa LLC

  • Ophthalmology Physician
  • Broken Arrow, OK
National Provider Identifier
1245643881
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NJOY TULSA LLC
Practice address
1601 S Eucalyptus Ave
Suite 200
Broken Arrow, OK 74012-6053
Phone
(918) 398-6565
Fax
(918) 398-6566
NPI assigned
Jun 10, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Dawn M Holsted, O.D.
Title
President, Ceo
Phone
(405) 842-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK
Ophthalmology Physician 207W00000X OK Primary

Addresses

Primary practice location

1601 S Eucalyptus Ave
Suite 200
Broken Arrow, OK 74012-6053

Mailing address

1601 S Eucalyptus Ave
Suite 200
Broken Arrow, OK 74012-6053
Phone (918) 398-6565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1245643881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S EUCALYPTUS AVE",
            "address_2": "SUITE 200",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126053",
            "telephone_number": "918-398-6565",
            "fax_number": "918-398-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S EUCALYPTUS AVE",
            "address_2": "SUITE 200",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126053",
            "telephone_number": "918-398-6565",
            "fax_number": "918-398-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJOY TULSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLSTED",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "405-842-6060",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.