G. Mark McBride O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

960 Issued in OK

Legal business name

G. MARK MCBRIDE O.D., PLLC

Practice address

9356 S Western Ave Ste B
Oklahoma City, OK 73139-2741

Phone

(405) 691-9222

Fax

(405) 378-6595

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. G. Mark McBride, O.D.

Title

Owner

Phone

(405) 691-9222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1780854919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 S WESTERN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392741",
            "telephone_number": "405-691-9222",
            "fax_number": "405-378-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 S WESTERN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392741",
            "telephone_number": "405-691-9222",
            "fax_number": "405-378-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. MARK MCBRIDE O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-691-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.