Stotts Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2754 Issued in OK

Legal business name

STOTTS EYECARE PC

Practice address

502 W Owen K Garriott Rd
Enid, OK 73701-5523

Phone

(580) 233-3599

Fax

(580) 237-2560

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Heath David Stotts, O.D.NPI 1992051148

Title

President

Phone

(580) 233-3599

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heath David Stotts, O.D.

  • Optometrist
  • Enid, OK
  • NPI 1992051148
  Medicare reassignment NPD Authorized official
• William D Diehl, OD

  • Optometrist
  • Enid, OK
  • NPI 1578668125
  NPD (past)
• David C Jones, OD

  • Optometrist
  • Woodward, OK
  • NPI 1417977844
  NPD (past)

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1386995488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015523",
            "telephone_number": "580-233-3599",
            "fax_number": "580-237-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015523",
            "telephone_number": "580-233-3599",
            "fax_number": "580-237-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOTTS EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "STOTTS",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-233-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Stilley
• Katie L Stogsdill, M.S. CCC-SLP
• Matthew David Stogsdill, PHARMD
• Grey Alexavier Micheal Stone
• Jerome Stonebarger
• Heath David Stotts, O.D.
• Brooke Kelley Stough, D.P.M.
• James Daniel Stough, DPM
• Shannon Cozette Stout
• Ty Stroble

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.