Organization Active NPI

Ideal Eye Care, P.C.

  • Optometrist
  • Norman, OK
National Provider Identifier
1194053660
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2605 Issued in OK
Legal business name
IDEAL EYE CARE, P.C.
Practice address
444 24TH Ave SW
Norman, OK 73069-5110
Phone
(405) 364-2020
Fax
(405) 364-2021
NPI assigned
Nov 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Anna Hughes, O.D.NPI 1457685851
Title
President
Phone
(405) 364-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2605 OK Primary

Addresses

Primary practice location

444 24TH Ave SW
Norman, OK 73069-5110

Mailing address

444 24TH Ave SW
Norman, OK 73069-5110
Phone (405) 364-2020

Other identifiers 1

IdentifierTypeStateIssuer
200268510AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000099 OK Part B Supplier - Clinic/Group Practice 8123169075 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

410 24th Ave SW
Norman, OK 73069
Phone (405) 307-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1194053660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695110",
            "telephone_number": "405-364-2020",
            "fax_number": "405-364-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695110",
            "telephone_number": "405-364-2020",
            "fax_number": "405-364-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-22",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-364-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.