Organization Active NPI

Jeffrey M. Butcher, OD, PC

Doing business as Pearle Vision

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1013031525
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2059 Issued in OK
Legal business name
JEFFREY M. BUTCHER, OD, PC
Doing business as
Pearle Vision
Practice address
2501 W Memorial Rd
Ste 222
Oklahoma City, OK 73134-8039
Phone
(405) 775-9300
NPI assigned
Mar 19, 2007
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Jeff Butcher, OD
Title
President
Phone
(405) 775-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2059 OK Primary

Addresses

Primary practice location

2501 W Memorial Rd
Ste 222
Oklahoma City, OK 73134-8039

Mailing address

2021 Smoky Hollow Rd
Edmond, OK 73013-6811

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

114 36th Ave NW
Norman, OK 73072
Phone (405) 366-1110

2501 W Memorial Rd
Ste 222
Oklahoma City, OK 73134
Phone (405) 775-0400

8549 N Rockwell Ave
Oklahoma City, OK 73132
Phone (405) 720-8316

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1013031525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SMOKY HOLLOW RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W MEMORIAL RD",
            "address_2": "STE 222",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348039",
            "telephone_number": "405-775-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. BUTCHER, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-775-9300",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.