Provider Demographics
NPI:1588685622
Name:EYE ASSOCIATES OF OKLAHOMA PLLC
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF OKLAHOMA PLLC
Other - Org Name:EPIC VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:N
Authorized Official - Last Name:BATTICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-733-4545
Mailing Address - Street 1:1455 S DOUGLAS BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5268
Mailing Address - Country:US
Mailing Address - Phone:405-733-4545
Mailing Address - Fax:405-733-2758
Practice Address - Street 1:10801 S WESTERN AVE STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-6222
Practice Address - Country:US
Practice Address - Phone:405-703-8404
Practice Address - Fax:405-561-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty