Waymon D. Harrison, O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2067 Issued in OK

Legal business name

WAYMON D. HARRISON, O.D. P.C.

Practice address

11653 S Western Ave
Oklahoma City, OK 73170-5801

Phone

(405) 691-2210

Fax

(405) 691-0136

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Waymon Dale Harrison, O.D.NPI 1396884813

Title

Owner

Phone

(405) 691-2210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Waymon Dale Harrison, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1396884813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1316165491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11653 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705801",
            "telephone_number": "405-691-2210",
            "fax_number": "405-691-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705801",
            "telephone_number": "405-691-2210",
            "fax_number": "405-691-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYMON D. HARRISON, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "WAYMON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-691-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Tyler Way
• Rachel Elisabeth Wayland, DNP-APRN
• Samantha Wayland, BA
• Larson M Wayman, D.D.S.
• Misty L Wayman, MD
• Ivan Wayne, MD
• Kayla Wazny
• We Care LLC
• We Care LLC
• We Care LLC

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.