Premier Eyecare of Enid PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2696 Issued in OK

Legal business name

PREMIER EYECARE OF ENID PLLC

Practice address

2318 N Oakwood Rd
Enid, OK 73703-1490

Phone

(580) 242-2300

Fax

(580) 233-7370

NPI assigned

Nov 17, 2014

Last updated

Dec 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin L Funk, O.D.NPI 1336427178

Title

O.D.

Phone

(580) 242-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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.

• Justin Lee Funk, O.D.

  • Optometrist
  • Enid, OK
  • NPI 1336427178
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Lloyd Peck, O.D.

  • Optometrist
  • Enid, OK
  • NPI 1023026176
  Medicare reassignment Care Compare group NPD
• Clint McKinley Sproul, O.D.

  • Optometrist
  • Enid, OK
  • NPI 1851672323
  Medicare reassignment Care Compare group NPD
• Terresa R Harrington, OD

  • Optometrist
  • Norman, OK
  • NPI 1629029988
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1124424247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 N OAKWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031490",
            "telephone_number": "580-242-2300",
            "fax_number": "580-233-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 N OAKWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031490",
            "telephone_number": "580-242-2300",
            "fax_number": "580-233-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYECARE OF ENID PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "580-242-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt B Postrach, D.C.
• Desiree Ann Powell, FNP-C
• Michelle Danielle Powell, COTA/L
• Ashley A Powers
• Cindy Marie Powers, MCP
• Premise Health of Oklahoma Medical PC (Tyson Foods Health & Wellness Center)
• Linda F Presa, LCSW
• Dared Price, PHARM. D.
• John Price, M.D.
• William Brent Price

• Optometrist in Enid, OK
• Providers in Enid, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.