Organization Active NPI

Scott K. McEachern, O.D.

  • Eyewear Supplier
  • Enid, OK
National Provider Identifier
1740459858
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2138 Issued in OK
Legal business name
SCOTT K. MCEACHERN, O.D.
Practice address
1220 W Willow Rd
Suite B
Enid, OK 73703-2511
Phone
(580) 237-4772
Fax
(580) 237-4841
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Scott K. McEachern, O.D.
Title
Owner
Phone
(580) 237-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2138 OK Primary

Addresses

Primary practice location

1220 W Willow Rd
Suite B
Enid, OK 73703-2511

Mailing address

1220 W Willow Rd
Suite B
Enid, OK 73703-2511
Phone (580) 237-4772

Other identifiers 2

IdentifierTypeStateIssuer
1467535849OtherOKINDIVIDUAL NPI
446729405001OtherOKBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1220 W Willow Rd
Ste B
Enid, OK 73703
Phone (580) 237-4772

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1740459858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W WILLOW RD",
            "address_2": "SUITE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032511",
            "telephone_number": "580-237-4772",
            "fax_number": "580-237-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WILLOW RD",
            "address_2": "SUITE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032511",
            "telephone_number": "580-237-4772",
            "fax_number": "580-237-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT K. MCEACHERN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MCEACHERN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-237-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467535849",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "446729405001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.