Organization Active NPI

Sight to See Vision Associates P C Inc

  • Optometrist
  • Edmond, OK
National Provider Identifier
1346397445
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK0841 Issued in OK
Legal business name
SIGHT TO SEE VISION ASSOCIATES P C INC
Practice address
701 S Broadway
Edmond, OK 73034-3936
Phone
(405) 341-7055
Fax
(405) 348-7702
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Mrs. Daina Sue Simon
Title
Office Manager
Phone
(405) 341-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OK0841 OK Primary

Addresses

Primary practice location

701 S Broadway
Edmond, OK 73034-3936

Mailing address

701 S Broadway
Edmond, OK 73034-3936
Phone (405) 341-7055

Other identifiers 2

IdentifierTypeStateIssuer
OK0841OtherOKSTATE LICENSE
200037850AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000343 OK Part B Supplier - Clinic/Group Practice 4082701842 Receives reassigned benefits from 3 practitioners
Practice locations: Edmond, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2039863Sight to See Vision Associates701 South Broadway, Edmond, OK 73034Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Locations

701 S Broadway
Edmond, OK 73034
Phone (405) 341-7055

Practitioners & affiliated clinicians

Practitioners 3

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1346397445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343936",
            "telephone_number": "405-341-7055",
            "fax_number": "405-348-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343936",
            "telephone_number": "405-341-7055",
            "fax_number": "405-348-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGHT TO SEE VISION ASSOCIATES P C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DAINA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-341-7055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK0841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OK0841",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.