Individual provider Active NPI

Jadica Louise Bendure

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1013612209
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3238 Issued in OK
Practice address
5350 E 31St St Ste 300
Tulsa, OK 74135-5011
Phone
(918) 933-4075
NPI assigned
Apr 5, 2023
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3238 OK Primary

Addresses

Primary practice location

5350 E 31St St Ste 300
Tulsa, OK 74135-5011

Mailing address

520 Belmont Rd
Muskogee, OK 74403-3911
Phone (918) 360-3569

Other practice location 1

520 Belmont Rd
Muskogee, OK 74403-3911
Phone (918) 360-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240410001169 TX Practitioner - Optometry 5799123782 Reassigns benefits to 1 organization
I20240614002250 OK Practitioner - Optometry 5799123782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newview Oklahoma IncGroup PAC ID 9133314594, 4 clinicians

Practice addresses (Care Compare)

5350 E 31St St
Suite 302
Tulsa, OK 74135-5008
Phone (405) 286-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3238OKMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Feb 25, 2024 Accepting new patients
Newview Oklahoma Inc. Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Newview Oklahoma Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Feb 25, 2024 Accepting new patients
Newview Oklahoma Inc. Optometrist Past 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

4301 N Classen Blvd
Oklahoma City, OK 73118
Phone (405) 286-9699

501 N Douglas Ave
Oklahoma City, OK 73106
Phone (405) 232-4644

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

5350 E 31st St
Ste 302
Tulsa, OK 74135
Phone (918) 933-4018

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1013612209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BELMONT RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033911",
            "telephone_number": "918-360-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E 31ST ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355011",
            "telephone_number": "918-933-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Belmont Rd",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744033911",
            "country_code": "US",
            "telephone_number": "918-360-3569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDURE",
        "first_name": "JADICA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.