Retina Consultants of Oklahoma PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

27666 Issued in OK

Legal business name

RETINA CONSULTANTS OF OKLAHOMA PLLC

Practice address

9821 S May Ave Ste C
Oklahoma City, OK 73159-7042

Phone

(405) 691-0505

Fax

(405) 691-0507

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Lance V Scott, MDNPI 1417958059

Title

President

Phone

(405) 691-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

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

• Lance V Scott, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1417958059
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Keith Firestone, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1073772398
  Medicare reassignment Care Compare group NPD
• Jordan S Johnson, MD

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
  • NPI 1851682470
  Medicare reassignment Care Compare group NPD
• Vinay Ashok Shah, MD

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
  • NPI 1013951409
  Medicare reassignment Care Compare group NPD
• Diana Tamboli, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Oklahoma City, OK
  • NPI 1346534146

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1215245014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 NW 63RD ST STE W251",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163637",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 S MAY AVE STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597042",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Oklahoma Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737015952",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2408 N Commerce St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011356",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 W Gore Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735013605",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3366 NW Expressway Ste 670",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124416",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 W Rock Creek Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730722455",
            "country_code": "US",
            "telephone_number": "405-310-2165",
            "fax_number": "405-310-2404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-691-0505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "27666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Philip J Rettig, MD
• Amber N Rettke
• Reuben Thomas O.D., P.L.L.C.

• Ophthalmology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.