| Organization Name: | TRIAD EYE INSTITUTE PLLC |
| NPI Number: | 1043216617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC L ABEL (OWNER) |
| Mailing Address: | 3131 Military Blvd Muskogee |
| State: | OK US |
| Postal Code: | 744012290 |
| Phone Number: | 9186876600 |
| Fax Number: | 9186876610 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |