Provider Demographics
NPI:1083502546
Name:VALET VISION LLC
Entity type:Organization
Organization Name:VALET VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUYKENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-310-2020
Mailing Address - Street 1:9317 N 133RD EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4742
Mailing Address - Country:US
Mailing Address - Phone:918-310-2020
Mailing Address - Fax:
Practice Address - Street 1:12905 E 96TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4719
Practice Address - Country:US
Practice Address - Phone:918-310-2020
Practice Address - Fax:918-503-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty