Kingfisher Eye Clinic Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KINGFISHER EYE CLINIC INC

Practice address

824 S Main St
Kingfisher, OK 73750-3625

Phone

(405) 375-5994

Fax

(405) 375-5952

NPI assigned

Oct 27, 2006

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pamela K Reichert, ODNPI 1508941394

Title

Officer of Corporation Secretary TR

Phone

(405) 262-2354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela K Reichert, OD

  • Optometrist
  • El Reno, OK
  • NPI 1508941394
  Medicare reassignment NPD Authorized official
• Joseph A Reichert, OD

  • Optometrist
  • El Reno, OK
  • NPI 1316022197
  Medicare reassignment NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1215012091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S MAIN ST",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737503625",
            "telephone_number": "405-375-5994",
            "fax_number": "405-375-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S MAIN ST",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737503625",
            "telephone_number": "405-375-5994",
            "fax_number": "405-375-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGFISHER EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICER OF CORPORATION SECRETARY TR",
        "authorized_official_telephone_number": "405-262-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget A. Keast, PA
• Rise Lynne Kester, APRN
• Kingfisher Clinic PLLC (Kingfisher Family Clinic)
• Kingfisher Dental PLLC
• Kingfisher Dental PLLC (Kingfisher Dentistry and Braces)
• Kingfisher Family Eyecare
• Kingfisher Pharmacy Management PLLC (Medic Pharmacy and Gifts)
• Kingfisher Public School
• Kingfisher Regional Hospital
• Kingfisher Regional Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.