Organization Active NPI

Premier Family Eye Care, PLLC

  • Optometrist
  • Durant, OK
National Provider Identifier
1194274589
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2834 Issued in OK
Legal business name
PREMIER FAMILY EYE CARE, PLLC
Practice address
1305 N 16TH Ave
Durant, OK 74701-2134
Phone
(580) 920-0400
Fax
(580) 920-9117
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Casey Wright, ODNPI 1023427176
Title
Optometrist/Owner
Phone
(580) 920-0400

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 2834 OK Primary

Addresses

Primary practice location

1305 N 16TH Ave
Durant, OK 74701-2134

Mailing address

1305 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 920-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105002227 OK Part B Supplier - Clinic/Group Practice 4385925379 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Locations

404 N Washington Ave
Durant, OK 74701
Phone (580) 920-0400

1305 N 16th Ave
Durant, OK 74701
Phone (580) 745-9470

Practitioners & affiliated clinicians

Practitioners 2

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": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1194274589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-920-0400",
            "fax_number": "580-920-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-920-0400",
            "fax_number": "580-920-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "580-920-0400",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.