Northeastern State University Oklahoma College Of Optometry - Medicare Optometrist in Tahlequah, OK

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Northeastern State University Oklahoma College Of Optometry is a medicare enrolled "Optometrist" provider in Tahlequah, Oklahoma. Their current practice location is 1001 N Grand Ave, Tahlequah, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (918) 458-2109.

Northeastern State University Oklahoma College Of Optometry is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northeastern State University Oklahoma College Of Optometry 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 1437106333.

Contact Information

Northeastern State University Oklahoma College Of Optometry
1001 N Grand Ave,
Tahlequah, OK 74464-7017
(918) 458-2109
(918) 458-2310

Map and Direction




Healthcare Provider's Profile

Full NameNortheastern State University Oklahoma College Of Optometry
TypeFacility
SpecialityOptometrist
Location1001 N Grand Ave, Tahlequah, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437106333
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 08/30/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0941112528
  • Enrollment ID: O20031103000296

Medical Identifiers

Medical identifiers for Northeastern State University Oklahoma College Of Optometry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437106333NPI-NPPES
100732440AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WL0500XOptometrist - Low Vision Rehabilitation (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
152WS0006XOptometrist - Sports Vision (* (Not Available))Secondary
152WV0400XOptometrist - Vision Therapy (* (Not Available))Secondary
152WX0102XOptometrist - Occupational Vision (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Secondary
332H00000XEyewear Supplier (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeastern State University Oklahoma College Of Optometry acts as a billing entity for following providers:
Provider NameAlan G Mckee
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326068750
PECOS PAC ID: 8921099292
Enrollment ID: I20040524001282
Provider NameEarlena F Mckee
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235159666
PECOS PAC ID: 6406742980
Enrollment ID: I20040525000139
Provider NameJudith A Riley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609879238
PECOS PAC ID: 4082656640
Enrollment ID: I20050524001444
Provider NameAlissa K Proctor
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972523751
PECOS PAC ID: 4385679919
Enrollment ID: I20051022000242
Provider NameLeland W Carr
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891786778
PECOS PAC ID: 7315959756
Enrollment ID: I20060629000041
Provider NameJason Ellen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962405928
PECOS PAC ID: 7214036821
Enrollment ID: I20070622000222
Provider NameHeidi A Thoden
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295754299
PECOS PAC ID: 2860389285
Enrollment ID: I20070808000482
Provider NameAlan D Grover
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760672331
PECOS PAC ID: 7810077419
Enrollment ID: I20080109000140
Provider NameBilly Wayne Hill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669454856
PECOS PAC ID: 9931270022
Enrollment ID: I20080617000567
Provider NameKathleen F Elliott
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558378794
PECOS PAC ID: 6103998919
Enrollment ID: I20080710000296
Provider NameJenna M Lighthizer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154586501
PECOS PAC ID: 4981759479
Enrollment ID: I20090904000493
Provider NameNathan R Lighthizer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366671497
PECOS PAC ID: 6608913694
Enrollment ID: I20091023000310
Provider NameMary Sturm
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437279924
PECOS PAC ID: 9133269574
Enrollment ID: I20091216000361
Provider NameJari Jill Frazier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326087636
PECOS PAC ID: 4587791041
Enrollment ID: I20100415000227
Provider NameRyan E Fenska
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730342684
PECOS PAC ID: 8022184985
Enrollment ID: I20100714000433
Provider NameGary F Flusche
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780601666
PECOS PAC ID: 3476682212
Enrollment ID: I20100714000524
Provider NameSpencer D Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487747408
PECOS PAC ID: 1254365034
Enrollment ID: I20101110000919
Provider NameSarah G Krein
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841503919
PECOS PAC ID: 0345365094
Enrollment ID: I20101209001204
Provider NameTory Dotson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790099786
PECOS PAC ID: 8921293275
Enrollment ID: I20101214000394
Provider NameSarah Wade
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1144533241
PECOS PAC ID: 5890983928
Enrollment ID: I20101216000202
Provider NameJackie L Burress
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851604961
PECOS PAC ID: 7315135449
Enrollment ID: I20101216000223
Provider NameSaunya M Burkhart
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912211350
PECOS PAC ID: 0941485528
Enrollment ID: I20110425000758
Provider NameStephanie M Cooper
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255619771
PECOS PAC ID: 4688846637
Enrollment ID: I20111017000521
Provider NameJenny Lu Johns
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487932992
PECOS PAC ID: 2860665510
Enrollment ID: I20111025000880
Provider NameHenricus G Vanveen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871510461
PECOS PAC ID: 5890681605
Enrollment ID: I20120203000588
Provider NameLatricia D Pack
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043230477
PECOS PAC ID: 7517854987
Enrollment ID: I20120203000617
Provider NameWesley J Derosier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760401764
PECOS PAC ID: 9234026170
Enrollment ID: I20120203000641
Provider NameJeff M Miller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1144240573
PECOS PAC ID: 5092602482
Enrollment ID: I20120203000660
Provider NameRichard E Castillo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1679593008
PECOS PAC ID: 3870480288
Enrollment ID: I20120221001034
Provider NameCharles Neal Whittle
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427304799
PECOS PAC ID: 5799933636
Enrollment ID: I20120918000404
Provider NameAmy E Slama
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962758078
PECOS PAC ID: 4385892272
Enrollment ID: I20120918000944
Provider NameJonathan M Hatley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770839979
PECOS PAC ID: 0840448601
Enrollment ID: I20120924000470
Provider NameDaniel D Owen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962758201
PECOS PAC ID: 5698921690
Enrollment ID: I20130102000371
Provider NameJoseph Leon Shetler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952362139
PECOS PAC ID: 4486609831
Enrollment ID: I20130513000474
Provider NameEmily L Bruce
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629410105
PECOS PAC ID: 1759525314
Enrollment ID: I20130920000504
Provider NameKelsey D Grounds
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629416789
PECOS PAC ID: 6406090018
Enrollment ID: I20130923000227
Provider NameBryan L Young
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962422394
PECOS PAC ID: 0547157950
Enrollment ID: I20131015000940
Provider NameApril J Parker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609218056
PECOS PAC ID: 8022245760
Enrollment ID: I20140421001782
Provider NameAndrew S Whitley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588096432
PECOS PAC ID: 9436377678
Enrollment ID: I20140829000144
Provider NameBrittany L Ellis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437483906
PECOS PAC ID: 7214156819
Enrollment ID: I20140912002042
Provider NameMichael William Gaydos
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225301443
PECOS PAC ID: 7113144098
Enrollment ID: I20141018000159
Provider NameKyle A Ryff
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790193597
PECOS PAC ID: 5991924979
Enrollment ID: I20141020002754
Provider NameMolly G Tebow
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811305659
PECOS PAC ID: 2961623590
Enrollment ID: I20141024001007
Provider NameAmy Dang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740698539
PECOS PAC ID: 5890915045
Enrollment ID: I20141024001899
Provider NameBlake Carlisle
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073921524
PECOS PAC ID: 9638390826
Enrollment ID: I20141103000978
Provider NameKelly K Boucher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528476207
PECOS PAC ID: 1456571017
Enrollment ID: I20141104001906
Provider NameKristin L Law
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811300841
PECOS PAC ID: 5092935916
Enrollment ID: I20141104002015
Provider NameMarshall Walker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033554118
PECOS PAC ID: 6103149083
Enrollment ID: I20141229001826
Provider NameMatthew B Geiger
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790160612
PECOS PAC ID: 4183932692
Enrollment ID: I20151002001551
Provider NameMatthew D Krein
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316250459
PECOS PAC ID: 5799950697
Enrollment ID: I20160108000983
Provider NameWyatt Ray Williams
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750766325
PECOS PAC ID: 3375845100
Enrollment ID: I20160111001303
Provider NameTara D Brown
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093824195
PECOS PAC ID: 1254622426
Enrollment ID: I20160617000909
Provider NameTyler W Kitzman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164875787
PECOS PAC ID: 7416243563
Enrollment ID: I20160915002089
Provider NameBenjamin Christopher Konig
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497108070
PECOS PAC ID: 9830486885
Enrollment ID: I20160920000771
Provider NameClement I Nwadozi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548713456
PECOS PAC ID: 6406143825
Enrollment ID: I20161010002171
Provider NameBret R Seamons
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548512882
PECOS PAC ID: 8729379078
Enrollment ID: I20161024000508
Provider NameDawn Pewitt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942248323
PECOS PAC ID: 1850670266
Enrollment ID: I20161107002550
Provider NameKelly E Glass
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023425675
PECOS PAC ID: 7416273529
Enrollment ID: I20161215001722
Provider NamePhillip C Ford
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932585106
PECOS PAC ID: 3678857745
Enrollment ID: I20170309001105
Provider NameChad Tyler Hollifield
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215450671
PECOS PAC ID: 6305118423
Enrollment ID: I20170823003408
Provider NameAndrew S Young
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447773452
PECOS PAC ID: 5092089573
Enrollment ID: I20170921002668
Provider NameNicholas Green
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922532811
PECOS PAC ID: 3274807797
Enrollment ID: I20170922000622
Provider NameElizabeth Escobedo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235652553
PECOS PAC ID: 2860766391
Enrollment ID: I20170922000925
Provider NamePamela Martin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538682992
PECOS PAC ID: 0143594572
Enrollment ID: I20170922001380
Provider NameBrent L Roberts
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114440138
PECOS PAC ID: 1850665282
Enrollment ID: I20170922001486
Provider NameJessica L White
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386167435
PECOS PAC ID: 5991079352
Enrollment ID: I20170922002745
Provider NameJonathan M Janzen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275056574
PECOS PAC ID: 8628342037
Enrollment ID: I20170925001110
Provider NameErelda Gene
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1801319041
PECOS PAC ID: 9931473154
Enrollment ID: I20170926003367
Provider NameAnthony John E. Castanares
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235629361
PECOS PAC ID: 3779834874
Enrollment ID: I20181001000372
Provider NameJenny Ga-yee Lau
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093292849
PECOS PAC ID: 1850642844
Enrollment ID: I20181002001380
Provider NameSergiu Daniel Picioreanu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235616897
PECOS PAC ID: 3173875184
Enrollment ID: I20181002002274
Provider NameJames H Hsiau
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235449869
PECOS PAC ID: 0840476784
Enrollment ID: I20181004000161
Provider NameCaitlin B Chevalier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548747272
PECOS PAC ID: 1456602002
Enrollment ID: I20181016000323
Provider NameSeth Allen Rich
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467939330
PECOS PAC ID: 2769734136
Enrollment ID: I20181016001825
Provider NameGlen R Owen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174613715
PECOS PAC ID: 2860423043
Enrollment ID: I20190131003047
Provider NameKelsey L Buford
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821641267
PECOS PAC ID: 1658609664
Enrollment ID: I20190828001839
Provider NameLaura Lai Ming L M Chan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063065522
PECOS PAC ID: 2365771334
Enrollment ID: I20190917002256
Provider NameDana D Rhea
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629621263
PECOS PAC ID: 4880924711
Enrollment ID: I20190919001366
Provider NameNha Cao
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932660974
PECOS PAC ID: 7113359399
Enrollment ID: I20191209000390
Provider NameJennifer A Button
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104478296
PECOS PAC ID: 7012340847
Enrollment ID: I20191209000819
Provider NameCarolyn E Majcher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033407127
PECOS PAC ID: 6406025733
Enrollment ID: I20200122000069
Provider NameLouis Allen Blowers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487144424
PECOS PAC ID: 7214362920
Enrollment ID: I20200323002649
Provider NameJanet Poole Naguib
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992330534
PECOS PAC ID: 8123442779
Enrollment ID: I20200806002759
Provider NameSylvester Cobbina
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225411358
PECOS PAC ID: 0446678072
Enrollment ID: I20200915000935
Provider NameKristen Lantz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073132395
PECOS PAC ID: 7911325444
Enrollment ID: I20200916000860
Provider NameJennifer L Dryden
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588285613
PECOS PAC ID: 2668890096
Enrollment ID: I20200916001212
Provider NameColleen Annalina Tejchma
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811518004
PECOS PAC ID: 4284052663
Enrollment ID: I20200916003029
Provider NameAmy Burcham
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023637360
PECOS PAC ID: 5496173676
Enrollment ID: I20200921001639
Provider NameCarol Ann Chou
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366061038
PECOS PAC ID: 2264850395
Enrollment ID: I20200922000720
Provider NameChristian Bussey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578172284
PECOS PAC ID: 8224457064
Enrollment ID: I20201008000927
Provider NamePaige E Taylor
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356910178
PECOS PAC ID: 8729483565
Enrollment ID: I20210817003647
Provider NameElaine Victoria Petry
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083296669
PECOS PAC ID: 7416352125
Enrollment ID: I20210818002814
Provider NameHannah R Sanders
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396310637
PECOS PAC ID: 3274938998
Enrollment ID: I20210818003171
Provider NameKomal Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306417308
PECOS PAC ID: 6204231897
Enrollment ID: I20210819002372
Provider NameSweta K Das
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1245758150
PECOS PAC ID: 1658777305
Enrollment ID: I20210907000792
Provider NameJacob J Dufour
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730556580
PECOS PAC ID: 8224326640
Enrollment ID: I20210908003990
Provider NameHannah H Munyan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063092468
PECOS PAC ID: 1052701869
Enrollment ID: I20220613000468
Provider NameCedrick K Mah
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093447898
PECOS PAC ID: 5597148460
Enrollment ID: I20220810003111
Provider NameAlexander Finley Kinsinger
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679214308
PECOS PAC ID: 3476936352
Enrollment ID: I20220810003692
Provider NameCourtney D Simon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114663085
PECOS PAC ID: 5193108975
Enrollment ID: I20220811000254
Provider NameBaylee R Moles
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104561851
PECOS PAC ID: 8921481730
Enrollment ID: I20220811001122
Provider NameCole M Sutherland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639801434
PECOS PAC ID: 7911380753
Enrollment ID: I20220811002525
Provider NameAlia K Cappellani
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679205801
PECOS PAC ID: 6507249208
Enrollment ID: I20220812001748
Provider NameMatthew Bills
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760132765
PECOS PAC ID: 5597148924
Enrollment ID: I20220818000866
Provider NameJordan H Fleming
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003489527
PECOS PAC ID: 0042608028
Enrollment ID: I20230228002433
Provider NameMegan Rae Tucker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134857279
PECOS PAC ID: 8921472242
Enrollment ID: I20230801001925
Provider NameAubry Tackett
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871289173
PECOS PAC ID: 5597129098
Enrollment ID: I20230918001326
Provider NameEthan Wohlgemuth
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104506419
PECOS PAC ID: 8921460627
Enrollment ID: I20230918003837
Provider NameJessica Tarka
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811628613
PECOS PAC ID: 5799147476
Enrollment ID: I20230919004052
Provider NameAdam Provost
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497486260
PECOS PAC ID: 5395190730
Enrollment ID: I20231004004068
Provider NameMeghan Alicia Sue
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831962554
PECOS PAC ID: 6709236391
Enrollment ID: I20231221004181

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. Northeastern State University Oklahoma College Of Optometry 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
Northeastern State University Oklahoma College Of Optometry
1001 N Grand Ave,
Tahlequah, OK 74464-7017

Ph: (918) 458-2109		Northeastern State University Oklahoma College Of Optometry
1001 N Grand Ave,
Tahlequah, OK 74464-7017

Ph: (918) 458-2109

Reviews and Comments


Optometrist in Tahlequah, OK

Dr. Michele Bither-marshall, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464
Phone: 918-458-2109    Fax: 918-458-2310
Dr. Rodney Bendure, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464
Phone: 918-458-2109    Fax: 918-458-2310
Tahlequah Family Vision Clinic
Optometrist
Medicare: Medicare Enrolled
Practice Location: 681 W Choctaw St, Tahlequah, OK 74464
Phone: 918-456-2250    Fax: 918-456-2251
Dr. Megan Jean Chee, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1001 N Grand Ave, Nsu Oklahoma College Of Optometry, Tahlequah, OK 74464
Phone: 918-444-4031    
Dr. Latricia Pack, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464
Phone: 918-458-2109    Fax: 918-458-2310
Dr. Laura Lai Ming Chan, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464
Phone: 918-444-4000    
Hannah Munyan Sikes, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464
Phone: 918-444-4007    

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.