Organization Active NPI

Children'S Eye Care of Tulsa, PLLC

  • Ophthalmology Physician
  • Tulsa, OK
National Provider Identifier
1326262668
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
3526 Issued in OK
Legal business name
CHILDREN'S EYE CARE OF TULSA, PLLC
Practice address
9228 S Mingo Rd
Suite 101
Tulsa, OK 74133-5718
Phone
(918) 250-9999
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. S Sadeghi, D.O.
Title
Owner
Phone
(918) 250-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 3526 OK Primary

Addresses

Primary practice location

9228 S Mingo Rd
Suite 101
Tulsa, OK 74133-5718

Mailing address

9228 S Mingo Rd
Suite 101
Tulsa, OK 74133-5718
Phone (918) 250-9999

Other identifiers 1

IdentifierTypeStateIssuer
100119820AMedicaidOK

National Provider Directory

National Provider Directory

Locations

9228 S Mingo Rd
Ste 101
Tulsa, OK 74133
Phone (918) 221-0877

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1326262668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335718",
            "telephone_number": "918-250-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335718",
            "telephone_number": "918-250-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EYE CARE OF TULSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-250-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.