Beatty-Jtjv LLC
NPI #1467278135 in Collinsville, Oklahoma
Provider Information
- NPI Number
- 1467278135
- Entity Type
- Organization
- Organization Name
- Beatty-Jtjv LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 27, 2024
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 1103 W CENTER ST
- City
- Collinsville
- State
- Oklahoma
- ZIP Code
- 74021-3108
- Phone
- (918) 371-3339
Authorized Official
- Name
- SUE DOWNES
- Title
- SECRETARY
- Phone
- (703) 847-8899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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| Provider Name | |
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| William Martin Grovenburg, OD | |
| DR. Leonard Duane Hart, O.D. | |
| DR. Tami Ra Ross, O.D. |
Organizations
| Provider Name | |
|---|---|
| Collinsville Primary Eyecare | |
| Len D. Hart, P.c. |
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