Active NPI
Ada Family Eye Care Inc
- Optometrist
- Ada, OK
National Provider Identifier
1285767848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK2064
- Legal business name
- ADA FAMILY EYE CARE INC
- Practice address
- 309 S Townsend St
Ada, OK 74820-6429 - Phone
- (580) 436-2020
- NPI assigned
- Mar 13, 2007
- Last updated
- Oct 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Christopher Gurley
- Title
- President
- Phone
- (580) 436-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | OK2064 | OK | |
| Optometrist | 152W00000X | OK2064 | OK | Primary |
Addresses
Primary practice location
309 S Townsend St
Ada, OK 74820-6429
Mailing address
309 S Townsend St
Ada, OK 74820-6429
Phone (580) 436-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100763290B | Medicaid | OK | |
| 410035923 | Other | OK | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
1003 Cradduck Rd
Ada, OK 74820
Phone (580) 436-2020
309 S Townsend St
Ada, OK 74820
Phone (580) 436-2020
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Ada, OK
- NPI 1780766592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1285767848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S TOWNSEND ST",
"city": "ADA",
"state": "OK",
"postal_code": "748206429",
"telephone_number": "580-436-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S TOWNSEND ST",
"city": "ADA",
"state": "OK",
"postal_code": "748206429",
"telephone_number": "580-436-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADA FAMILY EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "GURLEY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "580-436-2020",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OK",
"license": "OK2064",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "OK2064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100763290B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410035923",
"state": "OK"
}
],
"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 Oct 28, 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.