Organization Active NPI

William R Homan

  • Optometrist
  • Wagoner, OK
National Provider Identifier
1609054303
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WILLIAM R HOMAN
Practice address
709 E Cherokee St
Wagoner, OK 74467-4713
Phone
(918) 485-9110
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
William R Homan, O.D.
Title
Owner
Phone
(918) 485-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OK Primary

Addresses

Primary practice location

709 E Cherokee St
Wagoner, OK 74467-4713

Mailing address

PO Box 965
Wagoner, OK 74477-0965
Phone (918) 485-9110

National Provider Directory

National Provider Directory

Locations

709 E Cherokee St
Wagoner, OK 74467
Phone (918) 485-9110

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1609054303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744770965",
            "telephone_number": "918-485-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674713",
            "telephone_number": "918-485-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R HOMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "HOMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-485-9110",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.