Pamela J Poland MD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

17919 Issued in OK

Legal business name

PAMELA J POLAND MD

Doing business as

Ponca City Eye Clinic

Practice address

400 Fairview Ave - Suite 18
Ponca City, OK 74601-1920

Phone

(580) 762-5696

Fax

(580) 762-7622

NPI assigned

Feb 4, 2008

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela J Poland, MDNPI 1285639781

Title

Owner

Phone

(580) 762-5696

Specialties & licenses 1

Addresses

Other names 1

• Ponca City Eye Clinic Doing business as

Locations

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.

• Pamela J Poland, M.D.

  • Ophthalmology Physician
  • Ponca City, OK
  • NPI 1285639781
  Authorized official Same address or phone

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1881872760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE STE 18",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011910",
            "telephone_number": "580-762-5696",
            "fax_number": "580-762-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE - SUITE 18",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-762-5696",
            "fax_number": "580-762-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA J POLAND MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "POLAND",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-762-5696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "17919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponca City Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Balzer Otto, DDS
• Outpatient Surgical Center of Ponca City, LLC
• Outpatient Surgical Center of Ponca City, LLC
• Matthew Overland
• Nathaniel Page Jr.
• Ana Maria Soledad Pando
• Jayla Jordan Pappan
• Abby Parker, APRN, CNP-BC
• Kalena Pate, DMD
• Amanda Maria Pattison

• Eyewear Supplier in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Eyewear Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.