Pettigrew Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2176 Issued in OK

Legal business name

PETTIGREW EYECARE LLC

Practice address

111 24TH Ave NW
Suite 120
Norman, OK 73069-6388

Phone

(405) 310-3232

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Lynn Pettigrew, O.D.NPI 1497894844

Title

Doctor

Phone

(405) 310-3232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Lynn Pettigrew, O.D.

  • Optometrist
  • Norman, OK
  • NPI 1497894844
  NPD (past) Authorized official

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1629398128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 24TH AVE NW",
            "address_2": "SUITE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696388",
            "telephone_number": "405-310-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 24TH AVE NW",
            "address_2": "SUITE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696388",
            "telephone_number": "405-310-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTIGREW EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-310-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolanda Cherae Peters, BHRS
• Savannah Peterson, PHARM D.
• Torrea Deshawn Peterson
• Christian Ann Petricek, APRN
• Maci Leigh Petross
• Jeffrey Lynn Pettigrew, O.D.
• Monica Pevehouse, LPC
• PF MPW SNF Ops, LLC
• Brittany Pfaff, MOT, OTR/L
• Maddi Paige Pfleider, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.