NPIMap

Organization Active NPI

Drummond Eye Clinic, P.C.

  • Specialist
  • Stillwater, OK
National Provider Identifier
1487706313
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DRUMMOND EYE CLINIC, P.C.
Practice address
420 S Knoblock St
Stillwater, OK 74074-3024
Phone
(405) 372-2033
Fax
(405) 372-2388
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jonathan Edward Drummond, MDNPI 1649214560
Title
Owner
Phone
(405) 372-2033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OK
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X OK Primary

Addresses

Primary practice location

420 S Knoblock St
Stillwater, OK 74074-3024

Mailing address

420 S Knoblock St
Stillwater, OK 74074-3024
Phone (405) 372-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060210000566 OK Part B Supplier - Clinic/Group Practice 9032124177 Receives reassigned benefits from 4 practitioners
Practice locations: Stillwater, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487706313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S KNOBLOCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743024",
            "telephone_number": "405-372-2033",
            "fax_number": "405-372-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S KNOBLOCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743024",
            "telephone_number": "405-372-2033",
            "fax_number": "405-372-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUMMOND EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-372-2033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.