Provider Demographics
NPI:1194427831
Name:OAKEY MEDICAL CORPORATION
Entity type:Organization
Organization Name:OAKEY MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ZACKERY
Authorized Official - Middle Name:BECK
Authorized Official - Last Name:OAKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-478-4770
Mailing Address - Street 1:12 BAYLEAF LN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1262
Mailing Address - Country:US
Mailing Address - Phone:801-865-1793
Mailing Address - Fax:
Practice Address - Street 1:114 PACIFICA STE 390
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3335
Practice Address - Country:US
Practice Address - Phone:949-478-4770
Practice Address - Fax:949-239-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty