Organization Active NPI

Eye Solutions Inc

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1356568117
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2402 Issued in OK
Legal business name
EYE SOLUTIONS INC
Practice address
1117 Walnut Dr
Ardmore, OK 73401-2354
Phone
(580) 223-4500
Fax
(580) 223-4540
NPI assigned
Apr 20, 2007
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Sarah L Ross, O.D.NPI 1417955352
Title
Owner
Phone
(580) 223-4500

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
Optometrist 152W00000X 2402 OK Primary

Addresses

Primary practice location

1117 Walnut Dr
Ardmore, OK 73401-2354

Mailing address

1117 Walnut Dr
Ardmore, OK 73401-2354
Phone (580) 223-4500

Other identifiers 2

IdentifierTypeStateIssuer
200022010AMedicaidOK
447727214001OtherOKBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040504000065 OK Part B Supplier - Clinic/Group Practice 9537157185 Receives reassigned benefits from 1 practitioner
Practice locations: Ardmore, OK
O20100930092714 OK DME Supplier - Physician - OptometristDME Supplier - Optician 9537157185 Practice locations: Ardmore, 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
Eye Solutions Inc1117 Walnut Dr, Ardmore, OK 73401-2354(580) 223-4500 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Apr 1, 2004

National Provider Directory

National Provider Directory

Locations

1117 Walnut Dr
Ardmore, OK 73401
Phone (580) 223-4500

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1356568117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-223-4500",
            "fax_number": "580-223-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-223-4500",
            "fax_number": "580-223-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-223-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022010A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "447727214001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.