Organization Active NPI

Precision Vision Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1275802183
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0019 Issued in OK
Legal business name
PRECISION VISION SURGERY CENTER, LLC
Practice address
6922 S Western Ave
Suite 102
Oklahoma City, OK 73139-1803
Phone
(405) 636-1508
Fax
(405) 636-1239
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Darrell J Pickard, M.D.
Title
Medical Director
Phone
(405) 636-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0019 OK Primary

Addresses

Primary practice location

6922 S Western Ave
Suite 102
Oklahoma City, OK 73139-1803

Mailing address

6922 S Western Ave
Suite 102
Oklahoma City, OK 73139-1803
Phone (405) 636-1508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1275802183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 S WESTERN AVE",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391803",
            "telephone_number": "405-636-1508",
            "fax_number": "405-636-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 S WESTERN AVE",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391803",
            "telephone_number": "405-636-1508",
            "fax_number": "405-636-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-636-1508",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.