Dr. Derrick Skaggs and Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. DERRICK SKAGGS AND ASSOCIATES PC

Practice address

10920 S Memorial Dr
Tulsa, OK 74133-7352

Phone

(918) 369-7272

Fax

(918) 369-7010

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Omer Skaggs, O.D.

Title

Owner/Optometrist

Phone

(918) 369-7272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1497990006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337352",
            "telephone_number": "918-369-7272",
            "fax_number": "918-369-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337352",
            "telephone_number": "918-369-7272",
            "fax_number": "918-369-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DERRICK SKAGGS AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "OMER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "918-369-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.