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Edmond Regional Eye Associates Inc

NPI 1205949609ActiveOrganization· Ophthalmology· Edmond, OK

Ophthalmology in Edmond, Oklahoma, registered in NPPES in August 2006. The authorized official on file is Robert D. Gourley, MD, Owner Of Practice. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1205949609
StatusActive
Entity typeOrganization
NPI issuedAug 17, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OK)

Medicare sources and data years

Other Ophthalmology providers in Edmond

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