Crossroads Vision Center, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

923 Issued in OK

Legal business name

CROSSROADS VISION CENTER, PC

Practice address

3200 SW 89TH St
Oklahoma City, OK 73159-7902

Phone

(405) 692-2526

Fax

(405) 692-2187

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randel Sterling Hicks, O.D.NPI 1164531109

Title

Owner

Phone

(405) 692-2526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• Randel Sterling Hicks, OD

  • Optometrist
  • Oklahoma City, OK
  • NPI 1164531109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1447479159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597902",
            "telephone_number": "405-692-2526",
            "fax_number": "405-692-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597902",
            "telephone_number": "405-692-2526",
            "fax_number": "405-692-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RANDEL",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-692-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crosspoint Medical Inc
• Crossroads Family Dentistry
• Crossroads Hospice of Oklahoma City, LLC
• Crossroads Hospice of Oklahoma City, LLC
• Crossroads Vision Center, PC
• Crossway Medical Clinic W Memorial PLLC
• Crossway Now, LLC
• Christin Ann Crosswhite, RT, BSRT (R)
• Dallas Leigh Crotty, OTR/L
• Lynda Elaine Crouch, M.O.T.,O.T.R/L, ATP

• 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 Jun 29, 2012; 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.