North East Family Eyecare PC

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

6474TG Issued in TX

Legal business name

NORTH EAST FAMILY EYECARE PC

Practice address

200 Dallas St
Talihina, OK 74571-2402

Phone

(903) 244-2889

Fax

(918) 567-3240

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Olin W Fenton, OD

Title

Owner Doctor

Phone

(903) 244-2889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1205977394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DALLAS ST",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745712402",
            "telephone_number": "903-244-2889",
            "fax_number": "918-567-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DALLAS ST",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745712402",
            "telephone_number": "903-244-2889",
            "fax_number": "918-567-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "OLIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "903-244-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "6474TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Wayne Mosier, D.O.
• Madeleine Moss Perry, PHARMD
• Roberta I Neely, RPT
• Xuan Thao Nghe, D.O.
• Vu Ngo, D.O.
• Gary Lee Nunley, LPC
• Oklahoma Urgent Care Online LLC
• Matthew David Olson, PHARMD.
• Rebecca Lynn Osburne, RPSGT
• Sarah Ann Owers, CRNA

• Low Vision Rehabilitation Optometrist in Talihina, OK
• Providers in Talihina, OK by specialty
• Low Vision Rehabilitation Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.