Organization Active NPI

Brian D. Tipton O.D., a Professional Corporation

Doing business as Eastland Eye Care Associates

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1538380613
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1124 Issued in OK
Legal business name
BRIAN D. TIPTON O.D., A PROFESSIONAL CORPORATION
Doing business as
Eastland Eye Care Associates
Practice address
10651 E 31St St
Tulsa, OK 74146-1602
Phone
(918) 437-6360
Fax
(918) 437-6362
NPI assigned
May 2, 2007
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Ms. Brenda L Emery
Title
Office Manager
Phone
(918) 437-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1124 OK Primary

Addresses

Primary practice location

10651 E 31St St
Tulsa, OK 74146-1602

Mailing address

10651 E 31St St
Tulsa, OK 74146-1602
Phone (918) 437-6360

Other names 1

  • Eastland Eye Care Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1538380613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461602",
            "telephone_number": "918-437-6360",
            "fax_number": "918-437-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461602",
            "telephone_number": "918-437-6360",
            "fax_number": "918-437-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. TIPTON O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-437-6360",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastland Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.