Oklahoma Eye Institute Procedures LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OKLAHOMA EYE INSTITUTE PROCEDURES LLC

Practice address

1020 N Main St
Elk City, OK 73644-2831

Phone

(580) 225-1555

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Kamran Massoumi, MD

Title

Medical Director

Phone

(580) 225-1555

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1053096321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442831",
            "telephone_number": "580-225-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442831",
            "telephone_number": "580-225-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA EYE INSTITUTE PROCEDURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MASSOUMI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "580-225-1555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nowlin Dental Clinic
• Lisa A. Nowlin, D.D.S.
• Robert F. Nowlin, D.D.S.
• Kyndall O'Donnell, APRN
• Oklahoma Eye Institute
• Oklahoma Family Choice Home Healthcare Inc
• Oklahoma Medhealth Inc
• Oklahoma Mental Health Council
• Oklahoma Mental Health Council
• Oklahoma Mental Health Council

• Ambulatory Surgical Clinic/Center in Elk City, OK
• Providers in Elk City, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.