MASSOUMI, KAMRAN MOHAJER - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

MASSOUMI, KAMRAN MOHAJER

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	OKLAHOMA EYE INSTITUTE 1020 N MAIN STREET ELK CITY OK 73644-5160 Address last updated on 5/21/2024
Phone #:	(580) 225-1555
Fax #:	(580) 225-1558
County:	BECKHAM
License:	23117
Dated:	6/20/2003
Expires:	6/1/2025
License Type:	Medical Doctor
Specialty:	Ophthalmology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated:	5 / 1998
CME Year:	2027

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select Blue Works Workers Comp BlueChoice PPO BlueLincs HMO Champ VA CIGNA HMO CIGNA PPO Coventry Health Care National Network Dept of Rehabilitation Services (DRS) Evolutions Healthcare First Health Focus Healthcare Galaxy Health Network Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Prudential Health Care Plan, Inc Railroad Medicare Texas Medicaid Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS Worknet of Oklahoma
Hospital Privileges:	Great Plains Ambulatory Surgical Center Lawton, OK Southwestern Medical Center Lawton, OK

Locations:	Hours:	Languages:
OKLAHOMA EYE INSTITUTE 1020 N MAIN STREET ELK CITY OK 73644-5160 Phone #: (580) 225-1555 Fax #: (580) 225-1558	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 3:00PM Sat: Sun:	Farsi
5370 NW Cache Rd STe 6 Lawton, OK 73505 Phone #: (580) 536-0000 Fax #: (10) 201-	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 3:00PM Sat: Sun:	Spanish

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
JESSICA SIMMONS	APRN	1374

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