Glenpool Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2217 Issued in OK

Legal business name

GLENPOOL EYE CARE, PLLC

Practice address

247 E. 141St St.
Glenpool, OK 74033

Phone

(918) 291-1222

NPI assigned

Dec 19, 2006

Last updated

Jun 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Lewis Gosnell, O.D.NPI 1912089764

Title

Sole Member

Phone

(918) 291-1222

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, and the practitioner matching its NPPES authorized official.

• John L Gosnell, O.D.

  • Optometrist
  • Glenpool, OK
  • NPI 1912089764
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1366505448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E. 141ST ST.",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "74033",
            "telephone_number": "918-291-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E. 141ST ST.",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "74033",
            "telephone_number": "918-291-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENPOOL EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "GOSNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "918-291-1222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traneda Michelle Fuchs, LPN
• Genscripts Glenpool, LLC (Genscripts Pharmacy)
• Chase Gerety, DDS
• Sarah Elizabeth Gilmore, DDS
• Glennwood Healthcare Inc
• Glenpool Family Clinic a Prof Corp
• Glenpool Health Services LLC
• Glenpool Operations LLC (Glennwood Healthcare)
• Glenpool Pain Management LLC (Glenpool Pain Management)
• Glenpool Pharmacy Inc (Medicap Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.