Jacquelyn Powers OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2496 Issued in OK

Legal business name

JACQUELYN POWERS OD PC

Practice address

3539 W Main St
Norman, OK 73072-4811

Phone

(185) 275-2109

NPI assigned

May 21, 2008

Last updated

Dec 7, 2023By 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

Jacquelyn Powers

Title

Owner

Phone

(918) 527-5210

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

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.

• Jackie E Powers, OD

  • Optometrist
  • Norman, OK
  • NPI 1578677605
  Medicare reassignment
• Nicole M. Kish, O.D.

  • Optometrist
  • Norman, OK
  • NPI 1952334906
  NPD (past)
• Ralph Alan Latimer, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1558312140
  NPD (past)
• Brian Dale Morgan, M.D.

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1083617054
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1891952453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724811",
            "telephone_number": "918-527-5210",
            "fax_number": "405-364-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724811",
            "telephone_number": "185-275-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN POWERS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-527-5210"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2496",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "2496",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OK",
            "license": "2496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200110110",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200110110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob T Smith OD PLLC (Classic Vision)
• Jacob T. Smith, O.D. PLLC
• Reena Jacob, MD
• Breanna Jacobitz, DO
• Jacquelyn D Boyd DO PLLC
• Farzana Jahangir
• James a Lynn Crna PC
• James E Love MD PC
• James R. Yeary P.L.L.C.
• James S. Wall MD Inc

• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.