Active NPI
Enid Eye Inc.
- Ophthalmology Physician
- Enid, OK
National Provider Identifier
1508901836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ENID EYE INC.
- Practice address
- 615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5951 - Phone
- (580) 233-4711
- Fax
- (580) 234-6686
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James R Rogers, M.D.
- Title
- Surgeon
- Phone
- (580) 233-4711
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OK | Primary |
Addresses
Primary practice location
615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5951
Mailing address
615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5951
Phone (580) 233-4711
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442347685001 | Other | OK | BLUE CROSS BLUE SHIELD |
| CJ2331 | Other | OK | RAILROAD MEDICARE |
| 100729900A | Medicaid | OK | |
| 0748750001 | Other | OK | CIGNA DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050416000040 | OK | Part B Supplier - Clinic/Group Practice | 8921045360 |
Receives reassigned benefits from 6 practitioners Practice locations: Enid, OK |
National Provider Directory
National Provider DirectoryLocations
615 E Oklahoma Ave
Ste 101
Enid, OK 73701
Phone (405) 271-6060
Practitioners & affiliated clinicians
Practitioners 6
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": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299628800000",
"number": "1508901836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E OKLAHOMA AVE",
"address_2": "SUITE 101",
"city": "ENID",
"state": "OK",
"postal_code": "737015951",
"telephone_number": "580-233-4711",
"fax_number": "580-234-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E OKLAHOMA AVE",
"address_2": "SUITE 101",
"city": "ENID",
"state": "OK",
"postal_code": "737015951",
"telephone_number": "580-233-4711",
"fax_number": "580-234-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENID EYE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2011-03-09",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "580-233-4711",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "442347685001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ2331",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100729900A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DMERC",
"identifier": "0748750001",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.