- Medicare Optometrist in Oklahoma City, OK

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is a medicare enrolled "Optometrist" provider in Oklahoma City, Oklahoma. Their current practice location is 3631 Nw 39th St, Oklahoma City, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (405) 943-2020.

is licensed to practice in Oklahoma (license number 2570) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1285865337.

Contact Information

3631 Nw 39th St,
Oklahoma City, OK 73112-6309
(405) 943-2020
(405) 943-2021

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location3631 Nw 39th St, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285865337
  • Provider Enumeration Date: 08/06/2009
  • Last Update Date: 08/25/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3173654183
  • Enrollment ID: O20100707000517

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285865337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2570 (Oklahoma)Primary
152W00000XOptometrist 2631 (Oklahoma)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameStephanie M Rice
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316931694
PECOS PAC ID: 8224927504
Enrollment ID: I20040313000779
Provider NameBret C Furnish
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043391907
PECOS PAC ID: 9335171008
Enrollment ID: I20051209000718
Provider NameAmber A Mayes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316103401
PECOS PAC ID: 3577631050
Enrollment ID: I20081010000316
Provider NameBrandon R Mayes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225260151
PECOS PAC ID: 8426189432
Enrollment ID: I20100707000556
Provider NameAshley Kamann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033340401
PECOS PAC ID: 9537208699
Enrollment ID: I20120313000742
Provider NameMy Thuy Dinh
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1902248446
PECOS PAC ID: 5092025957
Enrollment ID: I20151104001823
Provider NameBryce N Mayes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336662790
PECOS PAC ID: 2062787278
Enrollment ID: I20171013000284
Provider NameClaire Moore
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891005542
PECOS PAC ID: 1052764289
Enrollment ID: I20240124002243
Provider NameKatie Tienabeso
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841038676
PECOS PAC ID: 0446790406
Enrollment ID: I20240905002992

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3631 Nw 39th St,
Oklahoma City, OK 73112-6309

Ph: (405) 943-2020
3631 Nw 39th St,
Oklahoma City, OK 73112-6309

Ph: (405) 943-2020

Reviews and Comments


Optometrist in Oklahoma City, OK


Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2501 W Memorial Rd, Ste 222, Oklahoma City, OK 73134
Phone: 405-775-9300    

Optometrist
Medicare: Medicare Enrolled
Practice Location: 12325 N Rockwell Ave, Oklahoma City, OK 73142
Phone: 405-728-3393    
Dr. Gary Robert Fox, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159
Phone: 405-691-3937    Fax: 405-691-0312

Optometrist
Medicare: Medicare Enrolled
Practice Location: 3011 Nw 63rd St, Oklahoma City, OK 73116
Phone: 405-840-2800    Fax: 405-840-8242

Optometrist
Medicare: Medicare Enrolled
Practice Location: 14000 Quailbrook Dr, Oklahoma City, OK 73134
Phone: 405-751-7727    Fax: 405-755-1875

Optometrist
Medicare: Medicare Enrolled
Practice Location: 8549 N Rockwell Ave, Oklahoma City, OK 73132
Phone: 405-720-8316    Fax: 405-720-3594
Jenna Vergeldt, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104
Phone: 405-456-4017    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.