Massengale Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1089 Issued in OK

Legal business name

MASSENGALE EYE CARE, PLLC

Practice address

2828 N Broadway St
Moore, OK 73160-4304

Phone

(405) 631-2020

Fax

(405) 631-2114

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Curt Leroy Massengale, O.D.NPI 1992729909

Title

Owner/Optometrist

Phone

(405) 631-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_massengaleeye

Practitioners 4

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

• Curt Leroy Massengale, O.D.

  • Optometrist
  • Moore, OK
  • NPI 1992729909
  Medicare reassignment NPD Authorized official
• Lance Christopher Miller, O.D.

  • Optometrist
  • Norman, OK
  • NPI 1457397127
  NPD (past)
• Thuy Trang Huynh Vu, OD

  • Optometrist
  • Edmond, OK
  • NPI 1043004724
  NPD (past)
• Stacey Wilda, O.D.

  • Optometrist
  • Perry, OK
  • NPI 1578555447
  NPD (past)

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1265726301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604304",
            "telephone_number": "405-631-2020",
            "fax_number": "405-631-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604304",
            "telephone_number": "405-631-2020",
            "fax_number": "405-631-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSENGALE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "MASSENGALE",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "405-631-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook Marie Martin
• Elizabeth Martin
• Katelynn M Martin
• Madison Nikole Martinez
• Mia Mason
• Curt Leroy Massengale, O.D.
• Braeden Mastin
• Cailey Breanna Mastin, LCSW
• Corneluis Mathews
• Max D. Venard, O.D., P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.