Seminole Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2077 Issued in OK

Legal business name

SEMINOLE VISION CARE INC

Practice address

1909 N Milt Phillips Ave
Seminole, OK 74868-2337

Phone

(405) 382-2020

Fax

(405) 382-3566

NPI assigned

Nov 1, 2006

Last updated

Mar 9, 2012By 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. Bryan L McRay, ODNPI 1346262854

Title

Optometric Physician

Phone

(405) 382-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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.

• Bryan L McRay, OD

  • Optometrist
  • Seminole, OK
  • NPI 1346262854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1245318864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N MILT PHILLIPS AVE",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748682337",
            "telephone_number": "405-382-2020",
            "fax_number": "405-382-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N MILT PHILLIPS AVE",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748682337",
            "telephone_number": "405-382-2020",
            "fax_number": "405-382-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "MCRAY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "405-382-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCHOICE",
            "identifier": "444769634",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763910A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "444769634001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seminole Hma, LLC (AllianceHealth Seminole)
• Seminole HMPN, LLC
• Seminole Medical Clinic
• Seminole Nursing Home Inc (Seminole Pioneer Nursing Home)
• Seminole Public Schools
• Shawnee Medical Center Clinic, Inc. (SSM Health Medical Group Seminole)
• Signature Home Health Services, Inc.
• Robert John Silvy II, CRNA
• Debra Ann Smith, MS
• Janice Smith, B.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.