Provider Demographics
NPI:1972955367
Name:ABEL EYE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ABEL EYE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FORD-LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-810-9096
Mailing Address - Street 1:11911 S OXFORD AVE
Mailing Address - Street 2:200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7775
Mailing Address - Country:US
Mailing Address - Phone:918-383-2020
Mailing Address - Fax:918-383-2020
Practice Address - Street 1:11911 S OXFORD AVE
Practice Address - Street 2:200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7775
Practice Address - Country:US
Practice Address - Phone:918-383-2020
Practice Address - Fax:918-383-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2847152W00000X
OK2074207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200693350AMedicaid
OKDX0698OtherMEDICARE RAILROAD
OKDX0698OtherMEDICARE RAILROAD