IndividualActive
Bob Keathley
NPI 1568675452 · Optician · Tulsa, OK
Provider details
- NPI number
- 1568675452
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 020779 (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6025 South Sheridan
Tulsa, OK 74145
Phone: (918) 494-2671
Fax: (918) 496-1993
Approximate (ZIP-level) locationGet directions
Mailing address
6025 South Sheridan
Tulsa, OK 74145
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.