Northeastern Retina, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHEASTERN RETINA, P.C.

Practice address

4415 S Harvard Ave
Ste 202
Tulsa, OK 74135-2620

Phone

(918) 749-7667

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Sameena Khan, M.D.NPI 1801896030

Title

Owner

Phone

(918) 749-7667

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sameena Khan, M.D.

  • Ophthalmology Physician
  • Queens Village, NY
  • NPI 1801896030
  NPD (past) Authorized official
• Alison D. Hansen, OD

  • Optometrist
  • Tulsa, OK
  • NPI 1740298041
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043233133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352620",
            "telephone_number": "918-749-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352620",
            "telephone_number": "918-749-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN RETINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-749-7667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmaleigh Grace Northcutt, PA-C
• Northeast Oklahoma Eye Institute
• Northeast Oklahoma Hand & Upper Extremity Surgery PLLC
• Northeast Oklahoma Spine and Sports LLC
• Northeast Orhtopaedics & Sports Medicine
• Northern Neuromonitoring PLLC
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Joshua Richard Northrup
• Northside Family Practice PLLC

• Ophthalmology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.