Organization Active NPI

Rose Rock Ophthalmology, PLLC

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1194289652
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROSE ROCK OPHTHALMOLOGY, PLLC
Practice address
608 NW 9TH St Ste 6110
Oklahoma City, OK 73102-1006
Phone
(405) 225-1305
NPI assigned
Jan 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Sayeda Nazir, MDNPI 1407071426
Title
Owner
Phone
(405) 603-4905

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

608 NW 9TH St Ste 6110
Oklahoma City, OK 73102-1006

Mailing address

PO Box 57390
Oklahoma City, OK 73157-7390
Phone (405) 329-5613

Other names 1

  • Rose Rock Ophthalmology Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002002 OK Part B Supplier - Clinic/Group Practice 6002158789 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

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": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1194289652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57390",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731577390",
            "telephone_number": "405-329-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021006",
            "telephone_number": "405-225-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ROCK OPHTHALMOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "NAZIR",
        "authorized_official_first_name": "SAYEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-603-4905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Rock Ophthalmology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.