Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edison Revolution, LLC

Organization Exclusive Provider Organization · NPI 1346004108

Edison Revolution, LLC is an Exclusive Provider Organization in Jenks, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Riverfront Dr Ste 400
Jenks, OK 74037-5691
Phone: (800) 967-2077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1346004108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Eddleman — Member · (918) 808-1802
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address100 S Riverfront Dr Ste 400, Jenks, OK 74037-5691

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