NPIMap

Organization Active NPI

Max D. Venard, O.D., P.C.

  • Optometrist
  • Moore, OK
National Provider Identifier
1881745768
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0932 Issued in OK
Legal business name
MAX D. VENARD, O.D., P.C.
Practice address
705 City Ave
Moore, OK 73160-3819
Phone
(405) 794-7544
Fax
(405) 794-7599
NPI assigned
Jan 16, 2007
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Max D Venard, ODNPI 1497750251
Title
Owner
Phone
(405) 794-7544

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0932 OK Primary

Addresses

Primary practice location

705 City Ave
Moore, OK 73160-3819

Mailing address

705 City Ave
Moore, OK 73160-3819
Phone (405) 794-7544

Other identifiers 2

IdentifierTypeStateIssuer
100744400AMedicaidOK
730942527002OtherOKBLUE CROSS BLUE SHIELD

Other names 1

  • MOORE EYECARE CENTER Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1881745768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CITY AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603819",
            "telephone_number": "405-794-7544",
            "fax_number": "405-794-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CITY AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603819",
            "telephone_number": "405-794-7544",
            "fax_number": "405-794-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX D. VENARD, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "VENARD",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-794-7544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "0932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744400A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "730942527002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORE EYECARE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.