South Tulsa Retina is a
Ophthalmology - Retina Specialist based in Tulsa, Oklahoma. South Tulsa Retina is licensed to practice in * (Not Available) (license number ) and their current practice location is
9940 E 81st St, Tulsa, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(918) 893-9240.
NPI number for South Tulsa Retina is 1699236307 and their current mailing address is 9940 E 81st St, Tulsa, Oklahoma. South Tulsa Retina
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699236307.
Healthcare Provider's Profile
| Full Name | South Tulsa Retina |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology - Retina Specialist |
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| Location | 9940 E 81st St, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699236307
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 11/27/2023
Medical Identifiers
Medical identifiers for South Tulsa Retina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699236307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. South Tulsa Retina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
South Tulsa Retina 9940 E 81st St, Tulsa, OK 74133-4501 Ph: () - | South Tulsa Retina 9940 E 81st St, Tulsa, OK 74133-4501 Ph: (918) 893-9240 |
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