Provider Demographics
NPI:1568948073
Name:REUBEN THOMAS O.D., P.L.L.C.
Entity Type:Organization
Organization Name:REUBEN THOMAS O.D., P.L.L.C.
Other - Org Name:URBAN OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REUBEN
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:405-730-0010
Mailing Address - Street 1:16112 RIM RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3215
Mailing Address - Country:US
Mailing Address - Phone:405-623-2101
Mailing Address - Fax:
Practice Address - Street 1:6200 W MEMORIAL RD STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-2052
Practice Address - Country:US
Practice Address - Phone:405-623-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty