Holdenville Eye Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HOLDENVILLE EYE CENTER PLLC

Practice address

720 N Hinckley St
Holdenville, OK 74848-3841

Phone

(405) 379-3700

Fax

(405) 379-3712

NPI assigned

Nov 6, 2015

Last updated

Feb 19, 2016By 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

Gary J Lavalley, ODNPI 1285676205

Title

Owner

Phone

(405) 379-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 3

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.

• Gary Jay Lavalley, O.D.

  • Optometrist
  • Henryetta, OK
  • NPI 1285676205
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas Jon Hardgrave, O.D.

  • Optometrist
  • NPI 1285907139

  OK

  Medicare reassignment Care Compare group NPD
• Sarah Elizabeth Mulliniks, OD

  • Optometrist
  • Henryetta, OK
  • NPI 1235566639
  Medicare reassignment NPD

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1558734970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748483841",
            "telephone_number": "405-379-3700",
            "fax_number": "405-379-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748483841",
            "telephone_number": "405-379-3700",
            "fax_number": "405-379-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDENVILLE EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "LAVALLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-379-3700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita Gay Harjo
• Savannah Ione Hartwick, PRSS
• Haskell Regional Hospital, Inc. (HRH Medical Group, First Choice Family Medicine)
• Heritage Village Nursing Center LLC (Heritage Village Nursing Home)
• Holdenvile Clinic and Urgent Care LLC
• Holdenville Home Health, LLC
• Holdenville Hospital Authority (Holdenville General Hospital)
• Holdenville Hospital Authority (Holdenville General Hospital Rural Health Clinic)
• Holdenville Hospital Authority (Holdenville General Hospital)
• Holdenville Hospital Authority (Holdenville General Hospital Physicians Health Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.