Envision Medical & Surgical Eye Care PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4949 Issued in OK

Legal business name

ENVISION MEDICAL & SURGICAL EYE CARE PC

Practice address

4926 W Kenosha St
Broken Arrow, OK 74012-8517

Phone

(918) 605-7456

Fax

(918) 893-1724

NPI assigned

Feb 5, 2013

Organization subpart

Yes

Parent organization

ENVISION MEDICAL AND SURGICAL EYE CAREAs reported in NPPES

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

Authorized official

Name

Miranda K Renfrow, D.O.

Title

President

Phone

(918) 605-7456

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Envision Medical Surgical

Locations

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1013256486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128517",
            "telephone_number": "918-605-7456",
            "fax_number": "918-893-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128517",
            "telephone_number": "918-605-7456",
            "fax_number": "918-893-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MEDICAL & SURGICAL EYE CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVISION MEDICAL AND SURGICAL EYE CARE",
        "enumeration_date": "2013-02-05",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-605-7456",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKA102502",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Evyonne Engram
• Enhance Care
• Chandler Enkey
• Paige Elizabeth Enriquez, APRN-CNP
• ENT and Sinus Solutions LLC
• Envision Medical & Surgical Eye Care PC
• Epic Connection Chiropractic, LLC
• Erika Diaz Counseling LLC
• Micaela Victoria Eschman
• Jon Ann Esponge, APRN, FNP-C

• Ophthalmology Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.