Glaucoma Surgeons of Oklahoma PLLC

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

Legal business name

GLAUCOMA SURGEONS OF OKLAHOMA PLLC

Practice address

1800 Renaissance Blvd
Edmond, OK 73013-3023

Phone

(405) 920-5222

Fax

(405) 920-5209

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Mahmoud Ahmad Khaimi, MDNPI 1881745651

Title

Physician/Owner

Phone

(405) 255-3839

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Mahmoud A Khaimi, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1881745651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1811743602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-920-5222",
            "fax_number": "405-920-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-920-5222",
            "fax_number": "405-920-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA SURGEONS OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "KHAIMI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-255-3839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glaucoma Specialist (Ophthalmology) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.