Organization Active NPI

Ba Eye Site, PLLC

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1447671664
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2368 Issued in OK
Legal business name
BA EYE SITE, PLLC
Practice address
2500 W New Orleans St
Broken Arrow, OK 74011-1574
Phone
(405) 213-3837
NPI assigned
Dec 16, 2013
Last updated
Dec 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Matthew Ozment, ODNPI 1669433249
Title
Doctor/Owner
Phone
(405) 248-6306

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 2368 OK Primary

Addresses

Primary practice location

2500 W New Orleans St
Broken Arrow, OK 74011-1574

Mailing address

2500 W New Orleans St
Broken Arrow, OK 74011-1574
Phone (405) 213-3837

National Provider Directory

National Provider Directory

Locations

123 E Washington St
Tecumseh, OK 74873
Phone 4055986558 ext. 101

Practitioners & affiliated clinicians

Practitioners 3

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": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1447671664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W NEW ORLEANS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111574",
            "telephone_number": "405-213-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W NEW ORLEANS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111574",
            "telephone_number": "405-213-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BA EYE SITE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "OZMENT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "405-248-6306",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.