BOB KEATHLEY OPTICIANS LLC; NPI #1700098589

Contact Information

BOB KEATHLEY OPTICIANS LLC

6025 S SHERIDAN RD
TULSA, OK 74145-9211

Phone: 918-494-2671
Fax: 918-496-1993
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BOB KEATHLEY OPTICIANS LLC

NPI # 1700098589

LBN Legal business name BOB KEATHLEY OPTICIANS LLC

Authorized official BOB KEATHLEY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2007

Last updated 04/12/2011 - About 15 years ago

Identifiers

OK	License #	020779
OK	Medicaid	100768340

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BOB KEATHLEY OPTICIANS LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BOB KEATHLEY OPTICIANS LLC

Reviews for BOB KEATHLEY OPTICIANS LLC