Oklahoma Medical Eye Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OKLAHOMA MEDICAL EYE GROUP

Practice address

244 S. Gateway Place
Suite 401
Jenks, OK 74037

Phone

(918) 747-2020

Fax

(918) 747-2056

NPI assigned

May 6, 2015

Last updated

Mar 22, 2019By 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

Jason Ellen, ODNPI 1962405928

Title

Owner

Phone

(918) 747-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: bturner@oklahomamedicaleye.intellechartdirect.net
• Direct secure messaging: cthompson@oklahomamedicaleye.intellechartdirect.net
• Direct secure messaging: sbhatia@oklahomamedicaleye.intellechartdirect.net

Practitioners 13

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.

• Jason Lee Ellen, O.D.

  • Optometrist
  • Jenks, OK
  • NPI 1962405928
  Medicare reassignment Care Compare group NPD Authorized official
• Haley L Baldridge, OD

  • Optometrist
  • Jenks, OK
  • NPI 1871071241
  Medicare reassignment Care Compare group NPD
• Sandeep K Bhatia, M.D.

  • Ophthalmology Physician
  • Jenks, OK
  • NPI 1003034927
  Medicare reassignment Care Compare group NPD
• Michael Chad Chamberlain, D.O.

  • Ophthalmology Physician
  • Jenks, OK
  • NPI 1366757387
  Medicare reassignment Care Compare group NPD
• Brandon Hadel, O.D.

  • Optometrist
  • Jenks, OK
  • NPI 1427462050
  Medicare reassignment Care Compare group NPD
• Adelaide L Priester, D.O.

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1922107648
  Medicare reassignment Care Compare group NPD
• Hannah Sanders, OD

  • Optometrist
  • Jenks, OK
  • NPI 1396310637
  Medicare reassignment Care Compare group NPD
• Mary Joel Sturm, O.D.

  • Optometrist
  • Jenks, OK
  • NPI 1437279924
  Medicare reassignment Care Compare group NPD
• Benjamin Turner, OD

  • Optometrist
  • Jenks, OK
  • NPI 1962205591
  Medicare reassignment Care Compare group NPD
• Ethan Joseph Gerstein, OD

  • Optometrist
  • Okmulgee, OK
  • NPI 1386330603
  Medicare reassignment NPD
• Alexander Finley Kinsinger, OD

  • Optometrist
  • Edmond, OK
  • NPI 1679214308
  Medicare reassignment NPD
• Christina Thompson, OD

  • Optometrist
  • Rogers, AR
  • NPI 1942050240

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1902283229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S. GATEWAY PLACE",
            "address_2": "SUITE 401",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-747-2020",
            "fax_number": "918-747-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S. GATEWAY PLACE",
            "address_2": "SUITE 401",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-747-2020",
            "fax_number": "918-747-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA MEDICAL EYE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "ELLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-747-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luan Lai Nuam, BS
• Megan Marie Oertel, PHARMD
• Janet Stella Ogar
• Temiloluwa Oguntayo, RBT-25-413315
• Oklahoma CVS Pharmacy LLC (CVS Pharmacy #10214)
• Orthopaedic Center, PC (The Orthopaedic Center, PC)
• Ashanti Shauna Osborne
• Osu Center for Health Sciences (Osu-Aj Young Peoples Clinic, PC)
• Jan Oswalt, SLP
• Overcoming Obstacles Behavioral Health Services LLC

• Ophthalmology Physician in Jenks, OK
• Providers in Jenks, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.