Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609053115 Deactivated / Inactive NPI Male Practitioner

Dr. Herman Lipe , OD

Optometrist • Broken Arrow, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Herman Lipe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 28, 2008
NPI Deactivation Date January 28, 2008
Total Practice Duration ~1 Years of Practice (2008 – 2008)

Professional Overview & Biography Verified Profile Summary

Dr. Herman Lipe, OD was a registered Optometrist practicing in Broken Arrow, OK. Throughout an active medical career spanning 1 years, Dr. Lipe provided care at the practice location at 4008 S ELM PL until profile deactivation on 2008-01-28.

Practice Location & Contact Primary Location

Practice Address

4008 S Elm Pl
Suite A

Broken Arrow, OK 740112021

Telephone 9184552020
Fax 9184554030
Associated Practice Facility / Clinic
🏢 J D Hudkins O D Inc Facility NPI 1669509683

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Broken Arrow, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 619

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1215135611

Doctor of Optometry

NPI 1457447062

Doctor of Optometry

NPI 1992330534

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2008

Record deactivated on January 28, 2008

NPI Profile Active January 28, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 28, 2008

Registered at 4008 S ELM PL, SUITE A, BROKEN ARROW, OK 740112021 (Tel: 9184552020)

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Updated Business Mailing Address January 28, 2008

Registered at 5909 E 47TH PL, TULSA, OK 741356846 (Tel: 9184552020)

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Provider Name / Credentials Updated January 28, 2008

Recorded as HERMAN LIPE, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2008

Optometrist (License #619 in OK)

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Initial NPI Registration & Enumeration January 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609053115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2008
Last Update: January 28, 2008
Deactivation Date: January 28, 2008

Mailing Address

5909 E 47th Pl

Tulsa, OK 741356846

Phone: 9184552020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.