1. Home
  2. Directory
  3. Oklahoma
  4. Edmond
  5. Ophthalmology
  6. NPI Profile

EDMOND REGIONAL EYE ASSOCIATES INC
NPI 1205949609
Ophthalmology in Edmond, OK

Active since August 17, 2006
920 S BRYANT, STE 100, EDMOND, OK 73034(405) 341-4238 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edmond Regional Eye Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMOND REGIONAL EYE ASSOCIATES INC (NPI 1205949609) is a healthcare organization registered as an ophthalmology in Edmond, Oklahoma and active in the NPI registry since August 2006. The organization lists Robert D Gourley, Owner Of Practice, as its authorized official.

NPPES Registry Identity

NPI1205949609
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEDMOND REGIONAL EYE ASSOCIATES INC
Location Address920 S BRYANT, STE 100Edmond, OK 73034
Mailing Address920 S Bryant, Ste 100Edmond, OK 73034 · (405) 341-4238
Phone(405) 341-4238
Organization SubpartNo
Authorized OfficialRobert D GourleyOwner Of Practice · (405) 341-4238
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205949609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
920 S BRYANT, Edmond, OK 73034
Open in Google Maps ↗

Other Identifiers 1

OtherCH6423Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmond Regional Eye Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Edmond Regional Eye Associates Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Michael Hogue, MD
Ophthalmology
NPI 1902895600
920 S BRYANT AVE SUITE 100
Edmond, OK 73034
(405) 341-4238
✔ PECOS✔ Accepts MedicareSame address
Robert Gourley, MD
Ophthalmology
NPI 1093704793
920 S BRYANT AVE STE 100
Edmond, OK 73034
(405) 341-4238
✔ PECOS✔ Accepts Medicare0.1 mi
Vincent Venincasa, M.D.
Ophthalmology
NPI 1154709970
920 S BRYANT AVE STE 100
Edmond, OK 73034
(405) 341-4238
✔ PECOS✔ Accepts Medicare1.4 mi
Bradley Daniel, OD
Optometry
NPI 1689227217
5600 N PORTLAND AVE
Oklahoma City, OK 73112
(405) 943-4413
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmond Regional Eye Associates Inc's NPI number?

The NPI number for Edmond Regional Eye Associates Inc is 1205949609. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Edmond Regional Eye Associates Inc located?

Edmond Regional Eye Associates Inc is located at 920 S Bryant Ste 100, Edmond, OK 73034. The listed phone number is (405) 341-4238.

What is Edmond Regional Eye Associates Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Edmond Regional Eye Associates Inc enrolled in Medicare?

Yes. Edmond Regional Eye Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edmond Regional Eye Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Edmond Regional Eye Associates Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edmond Regional Eye Associates Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.