Organization Active NPI

Oklahoma Retina Consultants PC

Doing business as Oklahoma Retina Institute

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1093888356
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OK18577 Issued in OK
Legal business name
OKLAHOMA RETINA CONSULTANTS PC
Doing business as
Oklahoma Retina Institute
Practice address
3366 NW Expressway St Ste 750
Oklahoma City, OK 73112-4454
Phone
(405) 948-2020
Fax
(405) 948-2760
NPI assigned
Nov 16, 2006
Last updated
Apr 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Sumit K Nanda, M.D.NPI 1407840515
Title
President
Phone
(405) 948-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OK18577 OK Primary

Addresses

Primary practice location

3366 NW Expressway St Ste 750
Oklahoma City, OK 73112-4454

Mailing address

3366 NW Expressway St Ste 750
Oklahoma City, OK 73112-4454
Phone (405) 948-2020

Other identifiers 1

IdentifierTypeStateIssuer
200099370AMedicaidOK

Other names 1

  • Oklahoma Retina Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000560 OK Part B Supplier - Clinic/Group Practice 4789746744 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3366 NW Expressway St
Ste 750
Oklahoma City, OK 73112
Phone (405) 948-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1093888356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY ST STE 750",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124454",
            "telephone_number": "405-948-2020",
            "fax_number": "405-948-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY ST STE 750",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124454",
            "telephone_number": "405-948-2020",
            "fax_number": "405-948-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA RETINA CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "NANDA",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-948-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "OK18577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200099370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Retina Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.