Beatty-Jtjv LLC

NPI #1285450957 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1285450957
Entity Type: Organization
Organization Name: Beatty-Jtjv LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 27, 2024
Last Updated: Dec 2, 2024

Practice Location

Address: 3505 W KENOSHA ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-8948
Phone: (918) 286-2020

Authorized Official

Name: SUE DOWNES
Title: SECRETARY
Phone: (703) 847-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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