Organization Active NPI

Drummond Optical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, OK
National Provider Identifier
1295868941
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DRUMMOND OPTICAL, LLC
Practice address
424 S Knoblock St
Stillwater, OK 74074-3024
Phone
(405) 743-0110
Fax
(405) 743-0111
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Jonathan E. Drummond, M.D.NPI 1649214560
Title
Owner
Phone
(405) 743-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

424 S Knoblock St
Stillwater, OK 74074-3024

Mailing address

424 S Knoblock St
Stillwater, OK 74074-3024
Phone (405) 743-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034737 OK DME Supplier - OpticianDME Supplier - Physician - Optometrist 9537280946 Practice locations: Stillwater, OK

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Drummond Optical LLC424 S Knoblock St, Stillwater, OK 74074-3024(405) 743-0110 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jul 29, 1999

National Provider Directory

National Provider Directory

Locations

424 S Knoblock St
Stillwater, OK 74074
Phone (405) 743-0110

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1184630400000",
    "number": "1295868941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S KNOBLOCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743024",
            "telephone_number": "405-743-0110",
            "fax_number": "405-743-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S KNOBLOCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743024",
            "telephone_number": "405-743-0110",
            "fax_number": "405-743-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUMMOND OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-743-0110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.