South Tulsa Retina

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

SOUTH TULSA RETINA

Practice address

9940 E 81St St
Tulsa, OK 74133-4501

Phone

(918) 893-9240

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Kristy Phillips

Title

Director of Business Affairs

Phone

(918) 893-9240

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1699236307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334501",
            "telephone_number": "918-893-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULSA RETINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "918-893-9240"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristy@southtulsaeye.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "EYECARE ASSOCIATES OF SOUTH TULSA PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10010 E 81st St",
            "address_2": "#100",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741335726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Tulsa Open MRI, LLC
• South Tulsa Optical, Inc.
• South Tulsa Pediatrics PLLJ
• South Tulsa Performance Health
• South Tulsa Pet, L.L.C.
• South Tulsa RT Associates LLC
• South Tulsa Speech Resources, LLC
• South Tulsa Ultrasound Associates, L.L.C.
• South Tulsa Urgent Care LLC
• South Tulsa Vision Development

• Retina Specialist (Ophthalmology) Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Retina Specialist (Ophthalmology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.