Active NPI
Michael L Soper, M.D.
- Ophthalmology Physician
- Muskogee, OK
National Provider Identifier
1447253141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 11682
- Practice address
- 329 S 38TH St
Muskogee, OK 74401-4945 - Phone
- (918) 687-9998
- Fax
- (918) 687-4135
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 11682 | OK | Primary |
Addresses
Primary practice location
329 S 38TH St
Muskogee, OK 74401-4945
Mailing address
329 S 38TH St
Muskogee, OK 74401-4945
Phone (918) 687-9998
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100094790A | Medicaid | OK | |
| 180000229 | Other | OK | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11682 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1447253141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S 38TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014945",
"telephone_number": "918-687-9998",
"fax_number": "918-687-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 S 38TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014945",
"telephone_number": "918-687-9998",
"fax_number": "918-687-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPER",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OK",
"license": "11682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100094790A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180000229",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.