David E. Korber M.D. P.C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20179 Issued in OK

Legal business name

DAVID E. KORBER M.D. P.C

Practice address

5320 N Portland Ave
Oklahoma City, OK 73112-2098

Phone

(405) 947-3330

Fax

(405) 947-3494

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lana Lynn Odom

Title

Office Manager

Phone

(405) 947-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Care Associates Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• David Eugene Korber, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1720042088

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1689734733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122098",
            "telephone_number": "405-947-3330",
            "fax_number": "405-947-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122098",
            "telephone_number": "405-947-3330",
            "fax_number": "405-947-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. KORBER M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-947-3330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "20179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• David G Wade DPM
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• David H Chansolme MD PC
• David Johnsen PHD and Associates PLLC
• David L. Schwartz D.M.D.

• Ophthalmology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.