Oculoplastic Surgeons of Oklahoma, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OCULOPLASTIC SURGEONS OF OKLAHOMA, PLLC

Practice address

16315 N May Ave
Edmond, OK 73013-8892

Phone

(405) 521-0041

Fax

(405) 521-1689

NPI assigned

May 11, 2007

Last updated

Dec 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erin L Holloman, M.D.

Title

Manager

Phone

(405) 521-0041

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ensa Katharine Pillow, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1407951460
  Medicare reassignment Care Compare group NPD
• Christian Michael Ponder, D.O.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Edmond, OK
  • NPI 1841787603

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Erin Holloman Scott, M.D.

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1306904123
  Medicare reassignment Care Compare group NPD
• Christina Marie Hiersche, PA-C

  • Medical Physician Assistant
  • Edmond, OK
  • NPI 1598936015
  Medicare reassignment Care Compare group
• Diana Tamboli, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Oklahoma City, OK
  • NPI 1346534146

  Ophthalmology

  Medicare reassignment NPD

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1790990059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 N MAY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138892",
            "telephone_number": "405-521-0041",
            "fax_number": "405-521-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 N MAY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138892",
            "telephone_number": "405-521-0041",
            "fax_number": "405-521-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOPLASTIC SURGEONS OF OKLAHOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-521-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200093160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn Oates
• Violet Obonyo
• Oca II Edmond, LLC (Access Medical Center)
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Evelyn Ochoa
• Alexandra Odell, CCC-SLP
• Aseel Odetalla
• Dana Odetalla
• Lena Bassam Odetalla
• Neadum Brett Odum, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.