Pauls Valley Eye Clinic PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2662 Issued in OK

Legal business name

PAULS VALLEY EYE CLINIC PLLC

Practice address

1811 West Grant Ave
Pauls Valley, OK 73075-0622

Phone

(405) 238-6459

Fax

(405) 238-6450

NPI assigned

Jan 27, 2012

Last updated

Apr 25, 2014By 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. Scott B Mendell, ODNPI 1245543446

Title

Owner

Phone

(405) 238-6459

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott B Mendell, O.D.

  • Optometrist
  • Norman, OK
  • NPI 1245543446
  Medicare reassignment Care Compare group NPD Authorized official
• Kathryn Elizabeth Kubiak, OD

  • Optometrist
  • Pauls Valley, OK
  • NPI 1427663731
  Medicare reassignment Care Compare group NPD
• Stephanie D Mendell, O.D.

  • Optometrist
  • Purcell, OK
  • NPI 1528371721
  Medicare reassignment NPD
• Robert Daniel Bales, M.D.

  • Ophthalmology Physician
  • Norman, OK
  • NPI 1609071935
  NPD (past)
• Clay Buchanan, OD

  • Optometrist
  • Pauls Valley, OK
  • NPI 1740102094
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1699047365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WEST GRANT AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750622",
            "telephone_number": "405-238-6459",
            "fax_number": "405-238-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WEST GRANT AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750622",
            "telephone_number": "405-238-6459",
            "fax_number": "405-238-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS VALLEY EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MENDELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-238-6459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaria Nowden
• Karri Odell
• Nikki Michelle Patton
• Pauls Valley Care Center LLC (Pauls Valley Care Center)
• Pauls Valley Chiropractic
• Pauls Valley Family Healthcare Aprn FNP-BC LLC
• Pauls Valley General Hospital
• Pauls Valley General Hospital (Pauls Valley General Hospital Home Services)
• Pauls Valley General Hospital (Valley Hospice)
• Pauls Valley General Hospital

• Optometrist in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.