Active NPI
Jordan Heath Fleming, OD
- Optometrist
- Shawnee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3124
- Practice address
- 2307 Gordon Cooper Dr
Shawnee, OK 74801-9007 - Phone
- (405) 273-5236
- Fax
- (405) 878-4835
- NPI assigned
- Jul 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3124 | OK | Primary |
Addresses
Primary practice location
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Mailing address
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone (405) 273-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3124 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Potawatomi Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Citizen Potawatomi Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Citizen Potawatomi Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Northeastern State University College of Optometry | Optometrist | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Vinita Family Eyecare, PLLC | Optometrist | Current | Accepting new patients |
Locations
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025
2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236
870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
Dept 2269
Tulsa, OK 74182
529 N Wilson St
Vinita, OK 74301
Phone (918) 256-5543
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1881981744
Single Specialty, TX
-
- Optometrist
- Tahlequah, OK
- NPI 1437106333
-
- Optometrist
- Vinita, OK
- NPI 1689447161
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1194752949
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1003489527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 GORDON COOPER DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748019007",
"telephone_number": "405-273-5236",
"fax_number": "405-878-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 GORDON COOPER DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748019007",
"telephone_number": "405-273-5236",
"fax_number": "405-878-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "JORDAN",
"middle_name": "HEATH",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "3124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.