NPIMap

Organization Active NPI

Oklahoma Eye Care LLC

  • Ophthalmology Physician
  • Midwest City, OK
National Provider Identifier
1275693087
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OKLAHOMA EYE CARE LLC
Practice address
2150 S Douglas Blvd
Suite C
Midwest City, OK 73130-6209
Phone
(405) 737-1000
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Mandy Jobe
Title
Client Manager
Phone
(918) 728-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2150 S Douglas Blvd
Suite C
Midwest City, OK 73130-6209

Mailing address

2150 S Douglas Blvd
Suite C
Midwest City, OK 73130-6209
Phone (405) 737-1000

Other identifiers 2

IdentifierTypeStateIssuer
100749190AMedicaidOK
CJ8746OtherOKMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

7934 N May Ave
Oklahoma City, OK 73120
Phone (405) 848-3937

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1275693087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S DOUGLAS BLVD",
            "address_2": "SUITE C",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306209",
            "telephone_number": "405-737-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S DOUGLAS BLVD",
            "address_2": "SUITE C",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306209",
            "telephone_number": "405-737-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "CLIENT MANAGER",
        "authorized_official_telephone_number": "918-728-8401"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749190A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ8746",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

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