Organization Active NPI

Nicole M. Kish, OD & Associates, PC

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1629101522
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2255 Issued in OK
Legal business name
NICOLE M. KISH, OD & ASSOCIATES, PC
Practice address
1901 NW Expressway St
Suite 1082
Oklahoma City, OK 73118-1607
Phone
(405) 848-8845
Fax
(405) 848-8144
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Nicole Marie Kish, O.D.
Title
Optometrist
Phone
(405) 573-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2255 OK Primary

Addresses

Primary practice location

1901 NW Expressway St
Suite 1082
Oklahoma City, OK 73118-1607

Mailing address

1901 NW Expressway St
Suite 1082
Oklahoma City, OK 73118-1607
Phone (405) 848-8845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1629101522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NW EXPRESSWAY ST",
            "address_2": "SUITE 1082",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181607",
            "telephone_number": "405-848-8845",
            "fax_number": "405-848-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW EXPRESSWAY ST",
            "address_2": "SUITE 1082",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181607",
            "telephone_number": "405-848-8845",
            "fax_number": "405-848-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE M. KISH, OD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-573-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2255",
            "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 May 21, 2010; 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.