MEDICARE: OKLAHOMA EYE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2167	OK
2	152W00000X	Optometrist	2718	OK
3	207W00000X	Ophthalmology Physician	23117	OK

General Provider Information

NPI Number	:	1780011734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA EYE INSTITUTE

Provider Business Mailing Address
First Line	:	1020 N MAIN ST
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-2831
Country	:	US
Telephone Number	:	580-225-1555
Fax Number	:	580-225-1558

Provider Business Practice Location Address
First Line	:	1020 N MAIN ST
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-2831
Country	:	US
Telephone Number	:	580-225-1555
Fax Number	:	580-225-1558

Authorized Official
Title or Position	:	OWNER
Name	:	KAMRAN MASSOUMI
Credential	:	M.D.
Telephone Number	:	580-225-1555

Provider Enumeration Date	:	10/07/2013
Last Update Date	:	05/09/2024

Similar Medicare Providers

1639172604 — KAMRAN MOHAJER MASSOUMI M.D.
Practice Location Address:

1020 N MAIN ST
ELK CITY, OK
73644-2831

Practice Phone: 580-225-1555
Practice Fax: 580-225-1558

1013910975 — ROBIN LYNN SMITH-TROTTER
Practice Location Address:

1020 N MAIN ST
ELK CITY, OK
73644-2831

Practice Phone: 580-225-1555
Practice Fax: 580-225-1558

1053096321 — OKLAHOMA EYE INSTITUTE PROCEDURES LLC
Practice Location Address:

1020 N MAIN ST
ELK CITY, OK
73644-2831

Practice Phone: 580-225-1555
Practice Fax:

1578513727 — DR. DANIEL MARK WEIR O.D.
Practice Location Address:

2290 S 1300 E
SALT LAKE CITY, UT
84106-2831

Practice Phone: 801-261-8263
Practice Fax: 801-261-8263

1306897384 — SHOPKO STORES OPERATING CO LLC
Practice Location Address:

2290 S 1300 E
SALT LAKE CITY, UT
84106-2831

Practice Phone: 801-467-8900
Practice Fax: 801-467-8291

1568415339 — SHOPKO STORES OPERATING CO. LLC
Practice Location Address:

2290 S 1300 E
SALT LAKE CITY, UT
84106-2831

Practice Phone: 801-467-8989
Practice Fax:

Directions to “OKLAHOMA EYE INSTITUTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.