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OKLAHOMA RETINA PLLC NPI 1750465340


NPI Information

NPI: 1750465340
Provider Name: OKLAHOMA RETINA PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
3435 NW 56TH ST
STE 808
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4848
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OKLAHOMA RETINA PLLC is an ophthalmology in Oklahoma City, OK. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. OKLAHOMA RETINA PLLC NPI is 1750465340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3435 NW 56TH ST
STE 808
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4848
Fax: (405) 945-4846

The provider's authorized official is Nabil Elias Srouji .
The authorized official title is Owner and has the following contact phone number (405) 945-4848.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 5/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200071590AMEDICAIDOKLAHOMA
2731532364731120000OTHERTRICARE
3800522476MEDICARE PINOKLAHOMA
4448706812005OTHERBCBS
5448706812005OTHERBLUE LINCS

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: 11/14/2023

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