Organization Active NPI

Optical Galleria

  • Durable Medical Equipment & Medical Supplies
  • Shawnee, OK
National Provider Identifier
1316067606
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTICAL GALLERIA
Practice address
501 E Macarthur St
Shawnee, OK 74804-2201
Phone
(405) 275-7525
Fax
(405) 275-7401
NPI assigned
Mar 30, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Stephen J Slawson, A.B.O.
Title
Management
Phone
(405) 275-7525

Specialties & licenses 1

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

Addresses

Primary practice location

501 E Macarthur St
Shawnee, OK 74804-2201

Mailing address

501 E Macarthur St
Shawnee, OK 74804-2201
Phone (405) 275-7525

National Provider Directory

National Provider Directory
Tax ID family
Optical Galleria3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316067606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042201",
            "telephone_number": "405-275-7525",
            "fax_number": "405-275-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042201",
            "telephone_number": "405-275-7525",
            "fax_number": "405-275-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL GALLERIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SLAWSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "405-275-7525",
        "authorized_official_credential": "A.B.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.