Eye Center Associates SE Oklahoma

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12247 Issued in OK

Legal business name

EYE CENTER ASSOCIATES SE OKLAHOMA

Practice address

1425 E Lincoln Rd
Idabel, OK 74745-7345

Phone

(580) 286-8288

Fax

(903) 885-4916

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE CENTER ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Philip Hayden White, M. D.

Title

Ceo

Phone

(903) 885-6531

Specialties & licenses 1

Addresses

Part of

Eye Center Associates

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1740453653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-885-6531",
            "fax_number": "903-885-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457345",
            "telephone_number": "580-286-8288",
            "fax_number": "903-885-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER ASSOCIATES SE OKLAHOMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CENTER ASSOCIATES",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HAYDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-885-6531",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "12247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elliott
• Heather N England, APRN
• Eric L Ensley, D.C.
• Dayna Natasha Erickson, FSP
• Dana Renee Evans, PHARMD
• Deborah Lea Farley, ARNP
• Brandi Lynn Ferguson, B.A. B.H.R.S. C.M.-A
• Ebony Dawn-Compton Fields
• Wilma Joy Forshee, APRN
• Freds Stores of Tennessee Inc (Freds Pharmacy 3966)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.