NPIMap

Organization Active NPI

Glaucoma & Laser Surgery Assoc Inc.

  • Ophthalmology Physician
  • Ok, OK
National Provider Identifier
1013114206
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA & LASER SURGERY ASSOC INC.
Practice address
3435 NW 56TH
#1010A
Ok, OK 73112
Phone
(405) 945-4747
Fax
(405) 945-4748
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
James B Wise, MDNPI 1386615128
Title
Owner
Phone
(405) 945-9747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3435 NW 56TH
#1010A
Ok, OK 73112

Mailing address

3435 NW 56TH
#1010A
Ok, OK 73112
Phone (405) 945-4747

National Provider Directory

National Provider Directory

Locations

3435 NW 56th St
#1010A
Oklahoma City, OK 73112
Phone (405) 945-4747

Practitioners & affiliated clinicians

Practitioners 1

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1013114206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH",
            "address_2": "#1010A",
            "city": "OK",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-945-4747",
            "fax_number": "405-945-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH",
            "address_2": "#1010A",
            "city": "OK",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-945-4747",
            "fax_number": "405-945-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA & LASER SURGERY ASSOC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-945-9747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ok, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.