Organization Active NPI

Hatfield Family Eye Care, PLLC

  • Optometrist
  • Tahlequah, OK
National Provider Identifier
1740540509
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2305 Issued in OK
Legal business name
HATFIELD FAMILY EYE CARE, PLLC
Practice address
3040 S Muskogee Ave
Suite 109
Tahlequah, OK 74464-5481
Phone
(918) 431-1444
Fax
(918) 431-1555
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Dr. Lisa Ann Hatfield, O.D.NPI 1972585545
Title
Optometrist/Owner
Phone
(918) 431-1444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2305 OK Primary

Addresses

Primary practice location

3040 S Muskogee Ave
Suite 109
Tahlequah, OK 74464-5481

Mailing address

3040 S Muskogee Ave
Suite 109
Tahlequah, OK 74464-5481
Phone (918) 431-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120709000646 OK Part B Supplier - Clinic/Group Practice 7810152238 Receives reassigned benefits from 1 practitioner
Practice locations: Tahlequah, OK

National Provider Directory

National Provider Directory

Locations

3040 S Muskogee Ave
Ste 109
Tahlequah, OK 74464
Phone (918) 431-1444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1740540509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S MUSKOGEE AVE",
            "address_2": "SUITE 109",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645481",
            "telephone_number": "918-431-1444",
            "fax_number": "918-431-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 S MUSKOGEE AVE",
            "address_2": "SUITE 109",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645481",
            "telephone_number": "918-431-1444",
            "fax_number": "918-431-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATFIELD FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "918-431-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.