Total Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2584 Issued in OK

Legal business name

TOTAL EYE CARE, LLC

Practice address

1105 E Cherokee Ave
Sallisaw, OK 74955-5035

Phone

(918) 775-4524

NPI assigned

Dec 18, 2014

Last updated

Mar 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Hatcher, O.D.NPI 1841455052

Title

Optometrist

Phone

(918) 775-4524

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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.

• Amanda Hatcher, O.D.

  • Optometrist
  • Sallisaw, OK
  • NPI 1841455052
  Medicare reassignment NPD Authorized official
• James A Trudeau III

  • Optometrist
  • Sallisaw, OK
  • NPI 1477662674
  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1528466836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E CHEROKEE AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749555035",
            "telephone_number": "918-775-4524",
            "fax_number": "918-775-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E CHEROKEE AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749555035",
            "telephone_number": "918-775-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-775-4524",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200205150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Belledean Taylor, MASTERS DEGREE
• The Lactation Network, LLC
• Stephanie Martin Thomas
• Brooke Thompson
• Kathy Lynn Tomlin
• Sherry Tounzen
• Lynzee Ro'Shay Trimble
• Trio Medical
• Shelby Trowbridge, APRN, FNP-C
• James A Trudeau III

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.