TULSA VISION CLINIC INC. NPI 1164557625

NPI Information

  • NPI: 1164557625
  • Provider Name: TULSA VISION CLINIC, INC.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 4433 SOUTH HARVARD AVE.
    TULSA, OK
    ZIP 74135
  • Phone: (918) 743-6334

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NPI Details

TULSA VISION CLINIC, INC. is an eyewear supplier in Tulsa, OK. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TULSA VISION CLINIC, INC. NPI is 1164557625. The provider is registered as an organization entity type.

The provider's business location address is:

4433 SOUTH HARVARD AVE.
TULSA, OK
ZIP 74135-604
Phone: (918) 743-6334
Fax: (918) 743-6369

The provider's authorized official is John Brian Cheatham .
The authorized official title is Optometrist and has the following contact phone number (918) 743-6334.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier2356OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHEROKLAHOMATAX ID NUMBER
2200109710AMEDICAIDOKLAHOMA
35886450001MEDICARE NSCOKLAHOMA
4700522178MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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