Active NPI
Ryan Steven Kerr, OD
- Optometrist
- Tahlequah, OK
National Provider Identifier
1013863554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3349
- Practice address
- 870 E Crafton St
Tahlequah, OK 74464-3380 - Phone
- (918) 444-4000
- NPI assigned
- Mar 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 3349 | OK | Primary |
Addresses
Primary practice location
870 E Crafton St
Tahlequah, OK 74464-3380
Mailing address
870 E Crafton St
Tahlequah, OK 74464-3380
Phone (918) 444-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1013863554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 E CRAFTON ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643380",
"telephone_number": "918-444-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 E CRAFTON ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643380",
"telephone_number": "918-444-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "RYAN",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-06",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.