Provider Demographics
NPI:1376853952
Name:EYE DOCTORS OF OKLAHOMA INC
Entity Type:Organization
Organization Name:EYE DOCTORS OF OKLAHOMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-701-1122
Mailing Address - Street 1:809 N FINDLAY AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6412
Mailing Address - Country:US
Mailing Address - Phone:405-701-1122
Mailing Address - Fax:405-701-1151
Practice Address - Street 1:809 N FINDLAY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6412
Practice Address - Country:US
Practice Address - Phone:405-701-1122
Practice Address - Fax:405-701-1151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25665207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty