Ken Merchant,O.D. PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2074 Issued in OK

Legal business name

KEN MERCHANT,O.D. PLLC

Practice address

3334 E 32ND PL
Tulsa, OK 74135-4415

Phone

(918) 622-6244

Fax

(918) 622-9126

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth James Merchant, O.D.NPI 1619059235

Title

Owner/ Optometrist

Phone

(918) 622-6244

Specialties & licenses 1

Addresses

Other names 1

• Ken Merchant, O.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth James Merchant, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1619059235
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1033438197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E 32ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354415",
            "telephone_number": "918-622-6244",
            "fax_number": "918-622-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 E 32ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354415",
            "telephone_number": "918-622-6244",
            "fax_number": "918-622-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN MERCHANT,O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "918-622-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ken Merchant, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ken Merchant, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Matthew Ryan Kemmerle, MD
• Cassandra Kaye Kemp
• Kelly Kempe, M.D.
• Paul W Kempe, M.D.
• Caleb David Kempf
• Olivia Kenas
• Amber Kendall
• Betina Jo Kendall, LPN
• Shon D. Kendall, D.O.
• Kendra Pennington, Otr/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.