Organization Active NPI

Southwest Medical Specialist

  • Eyewear Supplier
  • Ada, OK
National Provider Identifier
1225212210
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SOUTHWEST MEDICAL SPECIALIST
Practice address
301 S Broadway Ave
Ada, OK 74820-5805
Phone
(580) 436-6200
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
James T Quinlan, MD
Title
President
Phone
(580) 436-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OK Primary

Addresses

Primary practice location

301 S Broadway Ave
Ada, OK 74820-5805

Mailing address

301 S Broadway Ave
Ada, OK 74820-5805

National Provider Directory

National Provider Directory

Locations

301 S Broadway Ave
Ada, OK 74820
Phone (580) 436-6200

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225212210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205805",
            "telephone_number": "580-436-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-436-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.