Organization Active NPI

Envision Medical & Surgical Eye Care, PC

  • Ophthalmology Physician
  • McAlester, OK
National Provider Identifier
1649588419
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4949 Issued in OK
Legal business name
ENVISION MEDICAL & SURGICAL EYE CARE, PC
Practice address
4 E Clark Bass Blvd
Suite 204
McAlester, OK 74501-4269
Phone
(918) 421-6656
Fax
(918) 421-6659
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Mrs. Miranda Renfrow, DO
Title
DO
Phone
(918) 421-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 4949 OK Primary

Addresses

Primary practice location

4 E Clark Bass Blvd
Suite 204
McAlester, OK 74501-4269

Mailing address

4 E Clark Bass Blvd
Suite 204
McAlester, OK 74501-4269
Phone (918) 421-6656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1649588419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD",
            "address_2": "SUITE 204",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014269",
            "telephone_number": "918-421-6656",
            "fax_number": "918-421-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD",
            "address_2": "SUITE 204",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014269",
            "telephone_number": "918-421-6656",
            "fax_number": "918-421-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MEDICAL & SURGICAL EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "918-421-6656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.