Organization Active NPI

Oklahoma Eye Institute, LLC

  • Ophthalmology Physician
  • Wichita Falls, TX
National Provider Identifier
1730611401
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23117 Issued in OK
Legal business name
OKLAHOMA EYE INSTITUTE, LLC
Practice address
1901 Kemp Blvd
Wichita Falls, TX 76309-3959
Phone
(580) 536-0000
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Kamran Massoumi, MDNPI 1639172604
Title
Owner/MD
Phone
(580) 225-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2167 OK
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2718 OK
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 08376T TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 23117 OK Primary

Addresses

Primary practice location

1901 Kemp Blvd
Wichita Falls, TX 76309-3959

Mailing address

1020 N Main St
Elk City, OK 73644-2831
Phone (580) 225-1555

National Provider Directory

National Provider Directory

Locations

3000 N Main St
Altus, OK 73521
Phone (580) 379-9770

3200 W Modelle Ave
Clinton, OK 73601
Phone (580) 323-0277

1020 N Main St
Elk City, OK 73644
Phone (580) 255-1555

5608 SW Lee Blvd
Lawton, OK 73505
Phone (580) 536-0000

5454 SW Lee Blvd
Lawton, OK 73505

5370 NW Cache Rd
Ste 6
Lawton, OK 73505
Phone (405) 607-6699

5374 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-0000

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1730611401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442831",
            "telephone_number": "580-225-1555",
            "fax_number": "580-225-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763093959",
            "telephone_number": "580-536-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA EYE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "MASSOUMI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "580-225-1555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2167",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2718",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "08376T",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "23117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.