David Epp OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2012 Issued in OK

Legal business name

DAVID EPP OD PC

Practice address

104 E Main St
Sayre, OK 73662-2914

Phone

(580) 928-2212

NPI assigned

May 3, 2007

Last updated

Jun 6, 2008By 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

Dr. David Laverne Epp, D ONPI 1548204621

Title

Doctor

Phone

(580) 928-2212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

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.

• David L Epp, OD

  • Optometrist
  • Sayre, OK
  • NPI 1548204621

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1902028277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736620278",
            "telephone_number": "580-928-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736622914",
            "telephone_number": "580-928-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID EPP OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "580-928-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D O"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.