Organization Active NPI

Ward and Hall, PC

  • Optometrist
  • Okmulgee, OK
National Provider Identifier
1992719306
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WARD AND HALL, PC
Practice address
300 Creek PL
Okmulgee, OK 74447-6730
Phone
(918) 756-0316
Fax
(918) 756-2022
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. June McIntire, CPOA
Title
Clinic Administrator
Phone
(918) 756-0316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OK Primary

Addresses

Primary practice location

300 Creek PL
Okmulgee, OK 74447-6730

Mailing address

PO Box 520
300 Creek Place
Okmulgee, OK 74447-0520
Phone (918) 756-0316

Other identifiers 1

IdentifierTypeStateIssuer
100748120AMedicaidOK

Other names 1

  • The Eye Center, Drs. Ward and Hall Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053758 OK DME Supplier - Physician - Optometrist 9234250614 Practice locations: Okmulgee, OK
O20110113001118 OK Part B Supplier - Clinic/Group Practice 9234250614 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Bixby, OK; Okmulgee, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2045692Ward Hall PC300 Creek PL, Okmulgee, OK 74447Certificate of waiverAug 16, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Eye Center300 Creek PL, Okmulgee, OK 74447-6730(918) 756-0316 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory
Tax ID family
Ward and Hall PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Creek Pl
Okmulgee, OK 74447
Phone (918) 756-0316

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992719306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "address_2": "300 CREEK PLACE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744470520",
            "telephone_number": "918-756-0316",
            "fax_number": "918-756-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CREEK PL",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476730",
            "telephone_number": "918-756-0316",
            "fax_number": "918-756-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD AND HALL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "918-756-0316",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPOA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Center, Drs. Ward and Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.