Midtown Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

2147 Issued in OK

Legal business name

MIDTOWN EYECARE

Practice address

1701 S Peoria Ave
200
Tulsa, OK 74120-6801

Phone

(918) 599-0202

Fax

(918) 599-0279

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Megan M Ford

Title

Practice Administrator

Phone

(918) 599-0202

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle E Craig, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1265689129
  Medicare reassignment NPD
• Phillip Ford, O.D

  • Optometrist
  • Tulsa, OK
  • NPI 1932585106
  Medicare reassignment NPD
• Daniel W Langley, DO

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1659361541
  NPD (past)
• Corinne Perini, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1700956182
  NPD (past)
• Brian F Williams, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1902802895
  NPD (past)
• Nicole E Davis, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1811184427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1003900010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S PEORIA AVE",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206801",
            "telephone_number": "918-599-0202",
            "fax_number": "918-599-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S PEORIA AVE",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206801",
            "telephone_number": "918-599-0202",
            "fax_number": "918-599-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "918-599-0202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094000A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "900522514",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0218",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Ann Middlebrook
• Tara Kay Middleton, LMSW
• Midtown Dental Studio PLLC
• Midtown Dentistry,Inc
• Midtown Dermatology LLC
• Midtown Medical Neuropathy, LLC
• Midtown OBGYN
• Midtown Pediatrics, PLLC
• Midtown Surgical and Skin Institute PLLC
• Midtown Tulsa Pediatric Group PLLC

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.