Triad Eye Institute Pllc - Medicare in Tulsa, OK

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Triad Eye Institute Pllc is a medicare enrolled "Ophthalmology" provider in Tulsa, Oklahoma. Their current practice location is 6140 S Memorial Dr, Tulsa, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (918) 252-2020.

Triad Eye Institute Pllc is licensed to practice in Oklahoma (license number 731288036) and it also participates in the medicare program. Triad Eye Institute Pllc 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 1093743213.

Contact Information

Triad Eye Institute Pllc
6140 S Memorial Dr,
Tulsa, OK 74133-1933
(918) 252-2020
(918) 307-1983

Map and Direction




Healthcare Provider's Profile

Full NameTriad Eye Institute Pllc
TypeFacility
SpecialityOphthalmology
Location6140 S Memorial Dr, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093743213
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507083557
  • Enrollment ID: O20140918000152

Medical Identifiers

Medical identifiers for Triad Eye Institute Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093743213NPI-NPPES
CO5028OtherOKRAILROAD MEDICARE
490004258OtherOKRAILROAD MEDICARE
490000830OtherOKRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 731288036 (Oklahoma)Secondary
207W00000XOphthalmology 731288036 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Triad Eye Institute Pllc acts as a billing entity for following providers:
Provider NameRobert L Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457350142
PECOS PAC ID: 4880582592
Enrollment ID: I20040305000170
Provider NameEric G Baggs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134289507
PECOS PAC ID: 8921039744
Enrollment ID: I20050822001004
Provider NameJoni S Couch
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073592002
PECOS PAC ID: 2860418357
Enrollment ID: I20051228000470
Provider NameRyan P Conley
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417016312
PECOS PAC ID: 7618069030
Enrollment ID: I20070815000326
Provider NameBrett M Enyart
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043216146
PECOS PAC ID: 5890825145
Enrollment ID: I20100611000647
Provider NameElizabeth R Batchelor
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922312081
PECOS PAC ID: 8527255629
Enrollment ID: I20101214001123
Provider NameJeffrey W Grisham
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1871598011
PECOS PAC ID: 9830136530
Enrollment ID: I20120220000325
Provider NameBrett James Wagner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407126576
PECOS PAC ID: 5890951396
Enrollment ID: I20120727000708
Provider NameDrew Allyn Crawford
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699021543
PECOS PAC ID: 0749436228
Enrollment ID: I20120816000365
Provider NameJohn Bean
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407266083
PECOS PAC ID: 8820213937
Enrollment ID: I20140703001522
Provider NameTimothy J Gibson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518136126
PECOS PAC ID: 4981765161
Enrollment ID: I20150714002641
Provider NameMary Anne Ahluwalia
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962780627
PECOS PAC ID: 8224343884
Enrollment ID: I20150812006958
Provider NameJennifer M Howell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558746370
PECOS PAC ID: 3870801913
Enrollment ID: I20151009000182
Provider NameNeel M Kumar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306163514
PECOS PAC ID: 7416172242
Enrollment ID: I20160707001822
Provider NameSara Kathleen Lucido
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669757712
PECOS PAC ID: 8820376841
Enrollment ID: I20161026001787
Provider NameBao-tran Walton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295188530
PECOS PAC ID: 8628347325
Enrollment ID: I20170712002615
Provider NameMichael W Tillman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669910949
PECOS PAC ID: 4789969031
Enrollment ID: I20171120001993
Provider NameCaitlin Moore Weaver
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538684428
PECOS PAC ID: 2668733908
Enrollment ID: I20180228002094
Provider NameCurtis A Dubois
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1689197915
PECOS PAC ID: 2062788060
Enrollment ID: I20180628000426
Provider NameBenjamin Hutton Stephens
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043624448
PECOS PAC ID: 4789987124
Enrollment ID: I20180711000800
Provider NameRebecca Heath
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851814180
PECOS PAC ID: 3173881844
Enrollment ID: I20180803001832
Provider NameValerie Lobodiak
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215318878
PECOS PAC ID: 5799084596
Enrollment ID: I20190806000640
Provider NameChelsey Goss
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154094142
PECOS PAC ID: 3072917145
Enrollment ID: I20210811002727
Provider NameNicole Kristen Auble
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275114365
PECOS PAC ID: 5890182596
Enrollment ID: I20220427003020
Provider NameChenying Yang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366022436
PECOS PAC ID: 1153711213
Enrollment ID: I20220601003017
Provider NameAnna Evthokia Venizelos
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992446819
PECOS PAC ID: 8022474576
Enrollment ID: I20230525001645

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. Triad Eye Institute Pllc 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
Triad Eye Institute Pllc
6140 S Memorial Dr,
Tulsa, OK 74133-1933

Ph: (918) 252-2020		Triad Eye Institute Pllc
6140 S Memorial Dr,
Tulsa, OK 74133-1933

Ph: (918) 252-2020

Reviews and Comments



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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.

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