Individual provider Active NPI

Anthony Economou, D.O.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Tulsa, OK
National Provider Identifier
1013910090
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
3145 Issued in OK
Practice address
2865 E Skelly Dr Ste 250
Tulsa, OK 74105-6233
Phone
(918) 317-0022
Fax
(855) 327-9828
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 3145 OK
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0009X 3145 OK Primary

Addresses

Primary practice location

2865 E Skelly Dr Ste 250
Tulsa, OK 74105-6233

Mailing address

2865 E Skelly Dr Ste 250
Tulsa, OK 74105-6233
Phone (918) 317-0022

Other practice location 1

7171 S Yale Ave
Suite 104
Tulsa, OK 74136-6374
Phone (918) 317-0022

Other identifiers 4

IdentifierTypeStateIssuer
100137560AMedicaidOK
5533545OtherOKAETNA
1732450OtherOKUNITED HEALTHCARE
1101708OtherOKFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070619000597 OK Practitioner - Ophthalmology 1052410834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oklahoma State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2865 E Skelly Dr
Suite 250
Tulsa, OK 74105-6233
Phone (918) 317-0002

Merit-based Incentive Payment System (MIPS)

Final score
79.05 of 100Reported as individual
Quality
58.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3145OKMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Economou DO PC Single Specialty CurrentSince Apr 1, 2007 Accepting new patients
TLC Vision Center PC Single Specialty PastSince Nov 15, 2009 Accepting new patients

Locations

2865 E Skelly Dr
Ste 250
Tulsa, OK 74105
Phone (918) 317-0002

7171 S Yale Ave
Ste 104
Tulsa, OK 74136
Phone (918) 317-0022

Interoperability endpoints

  • Direct secure messaging: aeconomou834627@ahs.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: dreconomou@aedp-ok.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1013910090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E SKELLY DR STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056233",
            "telephone_number": "918-317-0022",
            "fax_number": "855-327-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E SKELLY DR STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056233",
            "telephone_number": "918-317-0022",
            "fax_number": "855-327-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 S Yale Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741366374",
            "country_code": "US",
            "telephone_number": "918-317-0022",
            "fax_number": "918-359-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECONOMOU",
        "first_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "3145",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "OK",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137560A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5533545",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1732450",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1101708",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.