Organization Active NPI

Denver C. Rushing, O.D., P.C.

  • Optometrist
  • Healdton, OK
National Provider Identifier
1386897494
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2542 Issued in OK
Legal business name
DENVER C. RUSHING, O.D., P.C.
Practice address
335 W Main St
Healdton, OK 73438-2117
Phone
(580) 229-2211
Fax
(580) 229-2212
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Denver Charles Rushing, O.D.
Title
President
Phone
(580) 229-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2542 OK Primary

Addresses

Primary practice location

335 W Main St
Healdton, OK 73438-2117

Mailing address

335 W Main St
Healdton, OK 73438-2117
Phone (580) 229-2211

Other identifiers 1

IdentifierTypeStateIssuer
200115240AMedicaidOK

National Provider Directory

National Provider Directory

Locations

11126 Highway 76
Healdton, OK 73438
Phone (580) 229-2211

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1386897494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W MAIN ST",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734382117",
            "telephone_number": "580-229-2211",
            "fax_number": "580-229-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W MAIN ST",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734382117",
            "telephone_number": "580-229-2211",
            "fax_number": "580-229-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER C. RUSHING, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "DENVER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-229-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.