Eyecare Associates of South Tulsa PC

Organization Active NPI Ophthalmology Physician · Tulsa, OK

NPI 1750475760 · NPPES record last updated Nov 10, 2025

Key facts

NPI
1750475760
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
License
4088 (OK)
Legal business name
EYECARE ASSOCIATES OF SOUTH TULSA PC
Practice address
10010 E 81St St Ste 100
Tulsa, OK 74133-4558
Phone
(918) 250-2020
Fax
(918) 250-8910
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

Name
Kristy Phillips
Title
Administration
Phone
(918) 250-2020

Subparts reporting this organization as parent 11

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 15

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070208000133 OK Part B Supplier - Clinic/Group Practice 4385646124 Receives reassigned benefits from 11 practitioners
Practice locations: Tulsa, OK

National Provider Directory

Locations

101B Main St
Belfast, ME 04915

9940 E 81st St
Tulsa, OK 74133
Phone (918) 664-9881

10010 E 81st St
Ste 300
Tulsa, OK 74133

8803 S 101st East Ave
Ste 360
Tulsa, OK 74133
Phone (918) 250-2020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152W00000X 2147 OK
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207W00000X 4088 OK Yes

Addresses

Primary practice location

10010 E 81St St Ste 100
Tulsa, OK 74133-4558

Mailing address

10010 E 81St St Ste 100
Tulsa, OK 74133-4558
Phone (918) 250-2020

Other identifiers

IdentifierTypeStateIssuer
200094000AMedicaidOK
6708040001OtherOKDMEMACS
500522178OtherOKMEDICARE
DF5413OtherOKRAILROAD MEDICARE

Other providers in Tulsa, OK

All providers in Tulsa, OK · Ophthalmology Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.