Bob Keathley Opticians LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

020779 Issued in OK

Legal business name

BOB KEATHLEY OPTICIANS LLC

Doing business as

Budget Optical

Practice address

6025 S Sheridan Rd
Tulsa, OK 74145-9211

Phone

(918) 494-2671

Fax

(918) 496-1993

NPI assigned

May 4, 2007

Last updated

Apr 12, 2011By 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

Bob R. KeathleyNPI 1568675452

Title

Owner

Phone

(918) 494-2671

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Budget Optical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bob R. Keathley

  • Optician
  • Tulsa, OK
  • NPI 1568675452
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1700098589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459211",
            "telephone_number": "918-494-2671",
            "fax_number": "918-496-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459211",
            "telephone_number": "918-494-2671",
            "fax_number": "918-496-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB KEATHLEY OPTICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "KEATHLEY",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-494-2671"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "020779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768340",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Budget Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian A. Boatwright, PSY.D.
• Helen Ruth Boaz
• Julie Ann Boaz, BS,MHR,LMFT CAND
• Montoya Renee Boaz, BA
• Thelma Beatrica Boaz
• Bobbi G. Fishinghawk, MD, PLLC
• Kaylee Bobbitt
• Mariya Boben
• Vivian Jane Bobo
• Carlee D Boccacci

• Eyewear Supplier in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Eyewear Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.