Provider Demographics
NPI:1912299892
Name:VARKEY, JOYCE KOKATT (DO)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:KOKATT
Last Name:VARKEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:VARKEY
Other - Last Name:CHINNASWAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:680 BROADWAY
Mailing Address - Street 2:STE 114
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1526
Mailing Address - Country:US
Mailing Address - Phone:973-742-4747
Mailing Address - Fax:
Practice Address - Street 1:3906 S. PEORIA
Practice Address - Street 2:EYE CARE FOR TULSA
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105
Practice Address - Country:US
Practice Address - Phone:918-585-1523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10206400207W00000X
OK5281207W00000X
NMR-17-2015207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty