Shawnee Vision Source - Medicare Optometrist in Shawnee, OK

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Shawnee Vision Source is a medicare enrolled "Optometrist" provider in Shawnee, Oklahoma. Their current practice location is 100 E 45th St, Shawnee, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (405) 275-7676.

Shawnee Vision Source is licensed to practice in Oklahoma (license number 2690) and it also participates in the medicare program. Shawnee Vision Source 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 1104228105.

Contact Information

Shawnee Vision Source
100 E 45th St,
Shawnee, OK 74804-1439
(405) 275-7676
(405) 275-6837

Map and Direction




Healthcare Provider's Profile

Full NameShawnee Vision Source
TypeFacility
SpecialityOptometrist
Location100 E 45th St, Shawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104228105
  • Provider Enumeration Date: 09/22/2014
  • Last Update Date: 09/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9638492374
  • Enrollment ID: O20150102001391

Medical Identifiers

Medical identifiers for Shawnee Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104228105NPI-NPPES
200350320AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2690 (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. Shawnee Vision Source acts as a billing entity for following providers:
Provider NameKyle K Karnish
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912285750
PECOS PAC ID: 6608038302
Enrollment ID: I20120425000407
Provider NameTrevor Caleb Conklin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649558321
PECOS PAC ID: 9830363845
Enrollment ID: I20120709000410
Provider NameTravis Kliewer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629324595
PECOS PAC ID: 4587814132
Enrollment ID: I20121017000506
Provider NameBritton Liron Adams
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447737960
PECOS PAC ID: 2860742723
Enrollment ID: I20180913003086
Provider NameBrianna Elizabeth Weber
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326622036
PECOS PAC ID: 2567867112
Enrollment ID: I20210820000895

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. Shawnee Vision Source 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
Shawnee Vision Source
100 E 45th St,
Shawnee, OK 74804-1439

Ph: (405) 275-7676		Shawnee Vision Source
100 E 45th St,
Shawnee, OK 74804-1439

Ph: (405) 275-7676

Reviews and Comments


Optometrist in Shawnee, OK

Jordan Heath Fleming, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2307 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-273-5236    Fax: 405-878-4835
Jordan Scott Ewert, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2109 N Kickapoo Ave, Shawnee, OK 74804
Phone: 405-275-2020    Fax: 405-275-4129
Michael Brian Watters, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2020 N Harrison, Shawnee, OK 74804
Phone: 405-273-7075    Fax: 405-273-7405
Dr. Marshall R Gleckler, O. D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 100 E 45th St, Shawnee, OK 74804
Phone: 405-275-7676    Fax: 405-275-6837
John D Kastl, Od, Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4901 N Kickapoo Ave, Suite 1626, Shawnee, OK 74804
Phone: 405-273-5014    Fax: 405-273-5014
Michael Watters Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2020 N Harrison, Shawnee, OK 74804
Phone: 405-273-7075    Fax: 405-273-7405

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.