NPIMap

Organization Active NPI

Sams Optical Oklahoma City

  • Optician
  • Oklahoma City, OK
National Provider Identifier
1457597312
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SAMS OPTICAL OKLAHOMA CITY
Practice address
500 W I 240 Service Rd
Oklahoma City, OK 73139-4400
Phone
(405) 778-6227
Fax
(405) 778-6228
NPI assigned
Dec 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Ms. Shelly F Bertin
Title
Co-Owner
Phone
(405) 631-7560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

500 W I 240 Service Rd
Oklahoma City, OK 73139-4400

Mailing address

500 W I 240 Service Rd
Oklahoma City, OK 73139-4400
Phone (405) 778-6227

Other identifiers 1

IdentifierTypeStateIssuer
200235630AMedicaidOK

Other names 1

  • SAMS OPTICAL OKLAHOMA CITY Other name

National Provider Directory

National Provider Directory

Locations

500 W I 240 Service Rd
Oklahoma City, OK 73139
Phone (405) 778-6227

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1457597312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394400",
            "telephone_number": "405-778-6227",
            "fax_number": "405-778-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394400",
            "telephone_number": "405-778-6227",
            "fax_number": "405-778-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS OPTICAL OKLAHOMA CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "BERTIN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-631-7560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200235630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMS OPTICAL OKLAHOMA CITY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.