NPIMap

Organization Active NPI

Precision Vision of Edmond, PLLC

  • Optometrist
  • Edmond, OK
National Provider Identifier
1871923458
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2367 Issued in OK
Legal business name
PRECISION VISION OF EDMOND, PLLC
Practice address
200 W Covell Rd
Edmond, OK 73003-2346
Phone
(405) 341-2062
Fax
(405) 341-6553
NPI assigned
Nov 19, 2013
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Selina McGee, ODNPI 1720057607
Title
Owner
Phone
(405) 341-2062

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 2367 OK Primary

Addresses

Primary practice location

200 W Covell Rd
Edmond, OK 73003-2346

Mailing address

200 W Covell Rd
Edmond, OK 73003-2346
Phone (405) 341-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324000322 OK Part B Supplier - Clinic/Group Practice 6901037639 Receives reassigned benefits from 4 practitioners
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1871923458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032346",
            "telephone_number": "405-341-2062",
            "fax_number": "405-341-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032346",
            "telephone_number": "405-341-2062",
            "fax_number": "405-341-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION OF EDMOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-341-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.