Warren Eye Care Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK2353 Issued in OK

Legal business name

WARREN EYE CARE CENTER LLC

Practice address

100 S Castlerock LN
Mustang, OK 73064-4586

Phone

(405) 376-5444

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Ladawn Warren, ODNPI 1669552998

Title

Optometrist/Owner

Phone

(405) 376-5444

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

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

• Marcia Ladawn Warren, OD

  • Optometrist
  • Mustang, OK
  • NPI 1669552998
  Medicare reassignment NPD Authorized official
• Katelyn Jo Steen, OD

  • Optometrist
  • Mount Pleasant, WI
  • NPI 1922655158
  NPD (past)
• John E Warren, OD

  • Optometrist
  • Mount Pleasant, WI
  • NPI 1609868124
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1023199379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644586",
            "telephone_number": "405-376-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644586",
            "telephone_number": "405-376-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN EYE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LADAWN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "405-376-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO OKLAHOMA",
            "identifier": "00959625",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "445828805003",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7603576",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Wahl
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0517)
• Walgreen Co (Walgreens #07222)
• Alphonso Wallace III
• Heaven Walls
• Marcia Ladawn Warren, OD
• Deanna Elizabeth Weaver
• Courtney Ann Wedel, D.D.S
• Datremecious White
• Katelynn Widner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.