NPIMap

Organization Active NPI

Kolker Vision Care

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1700911542
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1110 Issued in OK
Legal business name
KOLKER VISION CARE
Practice address
5910 S Lewis Ave
Tulsa, OK 74105-7112
Phone
(918) 592-2020
Fax
(918) 743-8102
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. David R Kolker, O.D.NPI 1073618211
Title
Owner
Phone
(918) 592-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1110 OK Primary

Addresses

Primary practice location

5910 S Lewis Ave
Tulsa, OK 74105-7112

Mailing address

5910 S Lewis Ave
Tulsa, OK 74105-7112
Phone (918) 592-2020

Other identifiers 4

IdentifierTypeStateIssuer
9185922020OtherVSP
447729031003OtherOKBCBS OF OK
4305OtherSUPERIOR VISION
917671OtherEYEMED

Other names 1

  • David R Kolker Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1700911542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057112",
            "telephone_number": "918-592-2020",
            "fax_number": "918-743-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057112",
            "telephone_number": "918-592-2020",
            "fax_number": "918-743-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLKER VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-592-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "9185922020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "447729031003",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "4305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "917671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David R Kolker",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.