Provider Demographics
NPI:1750617809
Name:TLC VISION CENTER PC
Entity type:Organization
Organization Name:TLC VISION CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-599-0202
Mailing Address - Street 1:6827 S MEMORIAL DR
Mailing Address - Street 2:STE. A
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6827 S MEMORIAL DR
Practice Address - Street 2:STE. A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2126
Practice Address - Country:US
Practice Address - Phone:918-398-6565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty