Organization Active NPI

Crain Optical LLC

  • Eyewear Supplier
  • Oklahoma City, OK
National Provider Identifier
1366751612
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
14388 Issued in OK
Legal business name
CRAIN OPTICAL LLC
Practice address
11011 Hefner Pointe Dr
Suite B
Oklahoma City, OK 73120-5005
Phone
(405) 749-9399
Fax
(405) 751-8894
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Russell D Crain, MDNPI 1629091517
Title
Owner
Phone
(405) 749-9399

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
Eyewear Supplier 332H00000X 14388 OK Primary

Addresses

Primary practice location

11011 Hefner Pointe Dr
Suite B
Oklahoma City, OK 73120-5005

Mailing address

11011 Hefner Pointe Dr
Suite B
Oklahoma City, OK 73120-5005
Phone (405) 749-9399

National Provider Directory

National Provider Directory

Locations

11011 Hefner Pointe Dr
Ste B
Oklahoma City, OK 73120
Phone (405) 749-9399

Practitioners & affiliated clinicians

Practitioners 1

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": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1366751612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 HEFNER POINTE DR",
            "address_2": "SUITE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205005",
            "telephone_number": "405-749-9399",
            "fax_number": "405-751-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 HEFNER POINTE DR",
            "address_2": "SUITE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205005",
            "telephone_number": "405-749-9399",
            "fax_number": "405-751-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-749-9399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "14388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.