Organization Active NPI

Anthony Economou DO PC

  • Glaucoma Specialist (Ophthalmology) Physician
  • Tulsa, OK
National Provider Identifier
1871613547
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
Legal business name
ANTHONY ECONOMOU DO PC
Practice address
2865 E Skelly Dr Ste 250
Tulsa, OK 74105-6233
Phone
(918) 317-0022
Fax
(855) 327-9828
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Anthony Economou, D.O.NPI 1013910090
Title
Owner
Phone
(918) 317-0022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0009X Primary

Addresses

Primary practice location

2865 E Skelly Dr Ste 250
Tulsa, OK 74105-6233

Mailing address

2865 E Skelly Dr Ste 250
Tulsa, OK 74105-6233
Phone (918) 317-0022

Other practice location 1

220 W 71st St
Tulsa, OK 74132-2011
Phone (918) 747-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000605 OK Part B Supplier - Clinic/Group Practice 8224137005 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2865 E Skelly Dr
Ste 250
Tulsa, OK 74105
Phone (918) 317-0002

2424 E 21st St
Ste 300
Tulsa, OK 74114
Phone (918) 747-7799

Practitioners & affiliated clinicians

Practitioners 1

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1871613547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E SKELLY DR STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056233",
            "telephone_number": "918-317-0022",
            "fax_number": "855-327-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E SKELLY DR STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056233",
            "telephone_number": "918-317-0022",
            "fax_number": "855-327-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W 71st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741322011",
            "country_code": "US",
            "telephone_number": "918-747-7799",
            "fax_number": "918-743-8648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTHONY ECONOMOU DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "ECONOMOU",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-317-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.