Organization Active NPI

Colby Beats, OD PC Inc

Doing business as Broken Arrow Vision Clinic

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1821279027
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2324 Issued in OK
Legal business name
COLBY BEATS, OD PC INC
Doing business as
Broken Arrow Vision Clinic
Practice address
1406 S Aspen Ave
Broken Arrow, OK 74012-4807
Phone
(918) 258-9999
Fax
(918) 258-2850
NPI assigned
Nov 16, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Colby Beats, ODNPI 1043227812
Title
President
Phone
(918) 258-9999

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
Optometrist 152W00000X OK2324 OK Primary

Addresses

Primary practice location

1406 S Aspen Ave
Broken Arrow, OK 74012-4807

Mailing address

1406 S Aspen Ave
Broken Arrow, OK 74012-4807
Phone (918) 258-9999

Other names 1

  • Broken Arrow Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1406 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 258-9999

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1821279027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 S ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124807",
            "telephone_number": "918-258-9999",
            "fax_number": "918-258-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124807",
            "telephone_number": "918-258-9999",
            "fax_number": "918-258-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY BEATS, OD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BEATS",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-258-9999",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broken Arrow Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.