Vidya Rege Dravid, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

11132 Issued in OK

Practice address

927 S Country Club Rd
El Reno, OK 73036-4907

Phone

(405) 262-9900

Fax

(405) 262-9949

NPI assigned

Aug 2, 2005

Last updated

May 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwestern Professional Associates Inc

  • Specialist
  • El Reno, OK
  • NPI 1740470525
  Authorized official Same address or phone

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1396746384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364907",
            "telephone_number": "405-262-9900",
            "fax_number": "405-262-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364907",
            "telephone_number": "405-262-9900",
            "fax_number": "405-262-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGE DRAVID",
        "first_name": "VIDYA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "OK11132",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "11132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021390B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Rock
• Red Rock
• Christopher Brad Redden, NP
• Redlands Community College
• Rebecca Lynn Reeves
• Reichert Reichert Optometrists a Professional Corporation
• Joseph A Reichert, OD
• Pamela K Reichert, OD
• Kimberly Ann Reuter, MA, LPC NCC CPCS
• Carmello Reveles Sr.

• Ophthalmology Physician in El Reno, OK
• Providers in El Reno, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.