McIver Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

2139 Issued in OK

Legal business name

MCIVER VISION CLINIC

Practice address

112 W Main St
Suite a-1
Marietta, OK 73448-2847

Phone

(580) 276-5548

Fax

(580) 276-5541

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ann L McIver, O.D.NPI 1275501033

Title

Optometrist

Phone

(580) 276-5548

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ann L. McIver, O.D.

  • Optometrist
  • Marietta, OK
  • NPI 1275501033
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1760689442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734480267",
            "telephone_number": "580-276-5548",
            "fax_number": "580-276-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "address_2": "SUITE A-1",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734482847",
            "telephone_number": "580-276-5548",
            "fax_number": "580-276-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCIVER VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "MCIVER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "580-276-5548",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "248404404",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Family Dentistry
• Marietta Operating Co, LLC (Lake Country Nursing Center)
• Marietta Pharmacy LLC (Marietta Pharmacy)
• Jessica K Marquez
• Maria Maynard, PHYSICIAN ASSISTANT
• Ann L. McIver, O.D.
• Mental Health Services of Southern Oklahoma
• Mental Health Services of Southern Oklahoma
• Mercy Health - Love County EMS
• Mercy Health Love County Rural Health Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.