NPI 1053423947

Pediatric Ophthalmology, PC

Organisation Eyewear Supplier Tulsa, OK

Practice location

Address: 4606 E 67th St Suite 400, Tulsa, OK 74136-4943
Phone: (918) 481-2738
Fax: (918) 481-2785
Mailing address: 4606 E 67th St STE 400, Tulsa, OK 74136-4950

Authorised official

Name: Gary Thane Denslow
Title: President
Phone: (918) 949-9898

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 038654 (OK)

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1053423947
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 23 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.