Elk City Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2790 Issued in OK

Legal business name

ELK CITY EYE CARE PLLC

Practice address

100 Access Rd
Elk City, OK 73644-2929

Phone

(580) 225-2488

Fax

(580) 225-2506

NPI assigned

Feb 24, 2014

Last updated

Apr 16, 2015By 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. Linda Lea Ann Ray, O.D.NPI 1740617778

Title

Sole MBR

Phone

(580) 225-2488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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.

• Linda Lea Ann Ray, O.D.

  • Optometrist
  • Moore, OK
  • NPI 1740617778
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1942625223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ACCESS RD",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442929",
            "telephone_number": "580-225-2488",
            "fax_number": "580-225-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ACCESS RD",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442929",
            "telephone_number": "580-225-2488",
            "fax_number": "580-225-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK CITY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEA ANN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "580-225-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brooke Dyson, PA-C
• Connie Edwards
• John D Edwards, O.D.
• Elk City Comforting Hands Hospice LLC
• Elk City Dental Group PLLC
• Elk City Nursing Home LLC (elk city nursing center)
• Elk City Pubic Schools
• Elk City RX Inc (Grandview Pharmacy)
• Elk City RX Inc (Grandview Pharmacy)
• Elk City Surgical Center

• Optometrist in Elk City, OK
• Providers in Elk City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.