Organization Active NPI

Ada Family Eye Care Inc

  • Optometrist
  • Ada, OK
National Provider Identifier
1285767848
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2064 Issued in OK
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100763290BMedicaidOK
410035923OtherOKMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.