Organization Active NPI

Thomas Blue Eyecare PLLC

  • Optometrist
  • Del City, OK
National Provider Identifier
1083743983
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMAS BLUE EYECARE PLLC
Practice address
5113 SE 15TH St
Del City, OK 73115-3952
Phone
(405) 677-8831
Fax
(405) 677-8865
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Thomas Dean Blue, OD
Title
Owner
Phone
(405) 677-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5113 SE 15TH St
Del City, OK 73115-3952

Mailing address

5113 SE 15TH St
Suite a
Del City, OK 73115-3952
Phone (405) 677-8831

Other identifiers 1

IdentifierTypeStateIssuer
200077190AMedicaidOK

National Provider Directory

National Provider Directory

Locations

5113 SE 15th St
Del City, OK 73115
Phone (405) 600-3252

301 Brookside Dr
Brookside Nursing Ctr
Madill, OK 73446
Phone (580) 795-3249

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1083743983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 SE 15TH ST",
            "address_2": "SUITE A",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153952",
            "telephone_number": "405-677-8831",
            "fax_number": "405-677-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 SE 15TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153952",
            "telephone_number": "405-677-8831",
            "fax_number": "405-677-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS BLUE EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-677-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.