Boaldin Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

2640 Issued in OK

Legal business name

BOALDIN EYE CARE

Practice address

1901 NW Expressway
Suite #2058
Oklahoma City, OK 73118-1607

Phone

(405) 767-2020

Fax

(405) 767-2022

NPI assigned

Jul 29, 2011

Last updated

Sep 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris Boaldin, O.D.

Title

President

Phone

(316) 993-0575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1669750246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MILLBROOK DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724751",
            "telephone_number": "405-767-2020",
            "fax_number": "405-767-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW EXPRESSWAY",
            "address_2": "SUITE #2058",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181607",
            "telephone_number": "405-767-2020",
            "fax_number": "405-767-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOALDIN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "BOALDIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-993-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200344100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.