NPIMap

Organization Active NPI

Eyecare Norman, PLLC

  • Optometrist
  • Norman, OK
National Provider Identifier
1861705790
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2662 Issued in OK
Legal business name
EYECARE NORMAN, PLLC
Practice address
630 24TH Ave SW
Norman, OK 73069-3913
Phone
(405) 701-0500
Fax
(405) 701-0500
NPI assigned
Jul 20, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Scott Mendell, ODNPI 1245543446
Title
Owner
Phone
(405) 701-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2662 OK Primary

Addresses

Primary practice location

630 24TH Ave SW
Norman, OK 73069-3913

Mailing address

630 24TH Ave SW
Norman, OK 73069-3913
Phone (405) 701-0500

National Provider Directory

National Provider Directory

Locations

630 24th Ave SW
Norman, OK 73069
Phone (405) 701-0500

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": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1861705790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693913",
            "telephone_number": "405-701-0500",
            "fax_number": "405-701-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693913",
            "telephone_number": "405-701-0500",
            "fax_number": "405-701-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE NORMAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "MENDELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-701-0500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.