NPIMap

Organization Active NPI

Denise Spears Roddy, OD, PC

Doing business as Advanced Eye Care, Inc

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1427196146
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1185 Issued in OK
Legal business name
DENISE SPEARS RODDY, OD, PC
Doing business as
Advanced Eye Care, Inc
Practice address
6351 E. 67TH PL.
Tulsa, OK 74136-3506
Phone
(918) 497-2002
Fax
(918) 497-2022
NPI assigned
Feb 2, 2007
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dr. Denise Spears Roddy, ODNPI 1013010289
Title
President
Phone
(918) 497-2002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1185 OK Primary

Addresses

Primary practice location

6351 E. 67TH PL.
Tulsa, OK 74136-3506

Mailing address

PO Box 990
Jenks, OK 74037-0990
Phone (918) 497-2002

Other identifiers 1

IdentifierTypeStateIssuer
100762210AMedicaidOK

Other names 1

  • Advanced Eye Care, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

5986 S Yale Ave
Tulsa, OK 74135
Phone (918) 344-4011

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1427196146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740370990",
            "telephone_number": "918-497-2002",
            "fax_number": "918-497-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 E. 67TH PL.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363506",
            "telephone_number": "918-497-2002",
            "fax_number": "918-497-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE SPEARS RODDY, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "RODDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "SPEARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-497-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.