L Mayes, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2344 Issued in OK

Legal business name

L MAYES, PLLC

Practice address

705 SW 19TH St Ste 160B
Moore, OK 73160-3049

Phone

(405) 790-0393

Fax

(405) 790-0395

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Lynne Mayes, O.D.

Title

Owner/Optometric Physician

Phone

(405) 790-0393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Total Vision Care Doing business as

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1134670417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S CODI ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666617",
            "telephone_number": "405-790-0393",
            "fax_number": "405-790-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SW 19TH ST STE 160B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603049",
            "telephone_number": "405-790-0393",
            "fax_number": "405-790-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L MAYES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "405-790-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Kolisch
• Robyn Kanae Krichena, RPH
• Bastian Kuhns
• Anna Evelyn Kumpf, SLP
• Miriam Marie Kwon
• Anne Suress Lafferty
• Laguna Enterprises, Inc.
• Tim M Laing, P.A.
• Joann Lam
• Lana G Nelson DO PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.