Tecumseh Eye Clinic PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2368 Issued in OK

Legal business name

TECUMSEH EYE CLINIC PLLC

Doing business as

Harrah Eye Clinic

Practice address

123 E Washington St
Tecumseh, OK 74873-3241

Phone

(405) 598-6558

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Jessica Ozment

Title

Administrator

Phone

(405) 598-6558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harrah Eye Clinic Doing business as

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1972661882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E WASHINGTON ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748733241",
            "telephone_number": "405-598-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E WASHINGTON ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748733241",
            "telephone_number": "405-598-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECUMSEH EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "OZMENT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-598-6558"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "4708984510002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrah Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tecumseh Public Schools

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.