Walt P. Megown OD Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

880 Issued in OK

Legal business name

WALT P. MEGOWN OD INC.

Practice address

916 E 8TH St
Okmulgee, OK 74447-4724

Phone

(918) 756-2124

Fax

(918) 756-3865

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Walt P Megown, OD

Title

Owner

Phone

(918) 756-2124

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Okmulgee Vision Clinic Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1710043708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744470610",
            "telephone_number": "918-756-2124",
            "fax_number": "918-756-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474724",
            "telephone_number": "918-756-2124",
            "fax_number": "918-756-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALT P. MEGOWN OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MEGOWN",
        "authorized_official_first_name": "WALT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-756-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730920B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "730950703001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okmulgee Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chasity Vaughn
• Lisa C Wahnee
• Wal-Mart Stores East LP
• Walgreen Co
• Cheryl Wallace, DPH
• Walter E Baumann M.D. , Inc
• Ward and Hall, PC
• James Allen Ward, O.D.
• Heath Wells, M.S., CTRS
• Billie Whitehead, BHWC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.