NPIMap

Organization Active NPI

Oklahoma Eye Specialist PLLC

  • Optometrist
  • Yukon, OK
National Provider Identifier
1023441508
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2690 Issued in OK
Legal business name
OKLAHOMA EYE SPECIALIST PLLC
Practice address
2001 Wheatfield Ave
Yukon, OK 73099-5022
Phone
(405) 308-3430
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Trevor ConklinNPI 1649558321
Title
Optometrist
Phone
(405) 308-3430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK2690 OK Primary

Addresses

Primary practice location

2001 Wheatfield Ave
Yukon, OK 73099-5022

Mailing address

2001 Wheatfield Ave
Yukon, OK 73099-5022

National Provider Directory

National Provider Directory

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": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1023441508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WHEATFIELD AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WHEATFIELD AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995022",
            "telephone_number": "405-308-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA EYE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-308-3430",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.