Organization Active NPI

Sterling Bryant Dawson

  • Eyewear Supplier
  • Ada, OK
National Provider Identifier
1124241377
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
STERLING BRYANT DAWSON
Practice address
210 E Main St
Ada, OK 74820-5604
Phone
(580) 436-0243
Fax
(580) 436-0243
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Sterling B Dawson Jr.
Title
Owner
Phone
(580) 436-0243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

210 E Main St
Ada, OK 74820-5604

Mailing address

PO Box 607
Ada, OK 74821-0607
Phone (580) 436-0243

Other identifiers 1

IdentifierTypeStateIssuer
100812580AMedicaidOK

Other names 1

  • QUALITY OPTICAL SERVICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1124241377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748210607",
            "telephone_number": "580-436-0243",
            "fax_number": "580-436-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205604",
            "telephone_number": "580-436-0243",
            "fax_number": "580-436-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING BRYANT DAWSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-436-0243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100812580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY OPTICAL SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.