Eyecare Boulevard, P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2773 Issued in OK

Legal business name

EYECARE BOULEVARD, P.L.L.C.

Practice address

7314 N Western Ave
Oklahoma City, OK 73116-7120

Phone

(405) 437-0763

Fax

(405) 437-0764

NPI assigned

Feb 11, 2017

Last updated

Jul 9, 2018By 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. My Dinh, O.D.NPI 1902248446

Title

Optometrist

Phone

(405) 473-2899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• My Thuy Dinh, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1902248446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1437697364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 N COUNCIL RD",
            "address_2": "APT 1124",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625500",
            "telephone_number": "405-473-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167120",
            "telephone_number": "405-437-0763",
            "fax_number": "405-437-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE BOULEVARD, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "MY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-473-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200751820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Associates of Oklahoma PLLC (Bogie Eye Care)
• Eye Associates of Oklahoma PLLC
• Eye Care Services
• Eye Care Surgery Center PLLC
• Eye Gallery PLLC
• Eyemart Express LLC
• Eyemart Express LLC
• Eyemart Express LLC
• Eyemart Express LLC
• Eyemart Express LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.