Valerie R Hatley PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK224 Issued in OK

Legal business name

VALERIE R HATLEY PC

Practice address

621 W Main St
Yukon, OK 73099-1035

Phone

(405) 354-2788

NPI assigned

Apr 26, 2007

Last updated

Dec 13, 2007By 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

Dr. Valerie Ridgena Hatley, ODNPI 1326028838

Title

Optometrist

Phone

(405) 354-2788

Specialties & licenses 1

Addresses

Other names 1

• YUKON EYE CARE Former legal business name

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.

• Valerie Ridgena Hatley

  • Optometrist
  • Yukon, OK
  • NPI 1326028838
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1396965075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730991035",
            "telephone_number": "405-354-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730991035",
            "telephone_number": "405-354-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE R HATLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HATLEY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "RIDGENA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-354-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUKON EYE CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.