Pediatric Ophthalmology, PC

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

Legal business name

PEDIATRIC OPHTHALMOLOGY, PC

Doing business as

Pediatric Eye Associates, Gary T. Denslow & Kids Point of View
Pediatric and Family Eyecare
Pediatric and Family Eyecare and Pediatric and Family Eyeware

Practice address

4606 E 67TH St
Ste 400
Tulsa, OK 74136-4943

Phone

(918) 949-9898

Fax

(918) 728-8091

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gary Thane Denslow, M.D.

Title

President

Phone

(918) 949-9898

Specialties & licenses 1

Addresses

Other names 3

• PEDIATRIC EYE ASSOCIATES, GARY T. DENSLOW & KIDS POINT OF VIEW Doing business as
• Pediatric and Family Eyecare Doing business as
• Pediatric and Family Eyecare and Pediatric and Family Eyeware Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Pediatric and Family Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Ophthalmology, PC

  dba Pediatric and Family Eyeware

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1053423947
  NPD tax ID

Locations

Practitioners 10

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

• John R Diver, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1336586122
  Medicare reassignment Care Compare group NPD
• Stephanie Christine Fulton, OD

  • Optometrist
  • Broken Arrow, OK
  • NPI 1972224814
  Medicare reassignment Care Compare group NPD
• Hailey Mitchell, OD

  • Optometrist
  • Tulsa, OK
  • NPI 1164157053
  Medicare reassignment Care Compare group NPD
• M Said Sadeghi, D.O.

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1588769780
  Medicare reassignment Care Compare group NPD
• Anika K Tandon, M.D.

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1982838397
  Medicare reassignment Care Compare group NPD
• Michael Amir Young, OD

  • Optometrist
  • Tahlequah, OK
  • NPI 1891378535
  Medicare reassignment Care Compare group NPD
• Tiffany Rebecca Risner, O.D.

  • Optometrist
  • Ennis, TX
  • NPI 1255742532

  OK

  Medicare reassignment Care Compare group NPD
• Wesley Alan Rainwater, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1982719571
  Care Compare group
• Kathleen F Elliott, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1558378794
  NPD
• Heba Hammami, OD

  • Optometrist
  • Tulsa, OK
  • NPI 1326668476
  NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1447244827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-949-9898",
            "fax_number": "918-949-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST",
            "address_2": "STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364943",
            "telephone_number": "918-949-9898",
            "fax_number": "918-728-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740128283",
            "country_code": "US",
            "telephone_number": "918-355-7450",
            "fax_number": "918-355-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9540 N Garnett Rd",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554406",
            "country_code": "US",
            "telephone_number": "918-609-7010",
            "fax_number": "918-609-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "DENSLOW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "THANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-949-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct@PediatricEyeAssociatesAndFTulsaOK.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "4606 E 67th St",
            "address_2": "STE 400",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741364943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PEDIATRIC EYE ASSOCIATES, GARY T. DENSLOW & KIDS POINT OF VIEW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric and Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric and Family Eyecare and Pediatric and Family Eyeware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Dental Group II, LLC
• Pediatric Dental Group, LLC
• Pediatric Dentistry of Tulsa P.C.
• Pediatric Occupational Therapy, LLC
• Pediatric Ophthalmology, PC (Pediatric and Family Eyeware)
• Pediatric Respiratory Sleep Services
• Pediatric Specialists of Tulsa
• Pediatric Surgery, Inc.
• David W Pedicord, DDS MDS
• Pedistat, PLLC (PediStat)

• Pediatric Ophthalmology and Strabismus Specialist Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.