Organization Active NPI

Brixton Opticians

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1619176310
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2242 Issued in OK
Legal business name
BRIXTON OPTICIANS
Practice address
8812 N Council Rd
Oklahoma City, OK 73132-3246
Phone
(405) 773-3937
Fax
(405) 728-3939
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Dr. Travis G Gittins, O.D.NPI 1518974641
Title
Optometrist/Owner
Phone
(405) 773-3937

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2242 OK Primary

Addresses

Primary practice location

8812 N Council Rd
Oklahoma City, OK 73132-3246

Mailing address

8812 N Council Rd
Oklahoma City, OK 73132-3246
Phone (405) 773-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000704 OK Part B Supplier - Clinic/Group Practice 5395906499 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

7640 NW Expressway
Ste 202
Oklahoma City, OK 73132
Phone (405) 773-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1619176310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 N COUNCIL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323246",
            "telephone_number": "405-773-3937",
            "fax_number": "405-728-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 N COUNCIL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323246",
            "telephone_number": "405-773-3937",
            "fax_number": "405-728-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIXTON OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "GITTINS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "405-773-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.