South Tulsa Vision Development

NPI #1053803635 in Tulsa, Oklahoma

Provider Information

NPI Number: 1053803635
Entity Type: Organization
Organization Name: South Tulsa Vision Development
Primary Specialty: Optometrist
Enumeration Date: May 31, 2018
Last Updated: May 31, 2018

Practice Location

Address: 8988 S SHERIDAN RD STE D1
City: Tulsa
State: Oklahoma
ZIP Code: 74133-5035
Phone: (918) 949-4002

Authorized Official

Name: MS. MEGAN M FORD
Title: CREDENTIALING AND AR SPECIALIST
Phone: (918) 872-8735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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