Individual provider Active NPI

Daniel Gene Bintz, O.D.

  • Optometrist
  • Elk City, OK
National Provider Identifier
1033203765
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1071 Issued in OK
Practice address
920 N Main St
Elk City, OK 73644-2829
Phone
(580) 243-1121
Fax
(580) 243-1145
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1071 OK Primary

Addresses

Primary practice location

920 N Main St
Elk City, OK 73644-2829

Mailing address

PO Box 9
Elk City, OK 73648-0009
Phone (580) 243-1121

Other identifiers 1

IdentifierTypeStateIssuer
100764360AMedicaidOK

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000162 OK Practitioner - Optometry 9032168299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Bintz and EllisGroup PAC ID 1951486042, 2 clinicians

Practice addresses (Care Compare)

920 N Main St
Elk City, OK 73644-2829
Phone (580) 243-1121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1071OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Bintz & Ellis Optometrist CurrentSince Jan 1, 2008 Accepting new patients
Daniel G Bintz, OD, PC Optometrist Past Accepting new patients

Locations

901 N Main St
Elk City, OK 73644
Phone (580) 225-9944

920 N Main St
Elk City, OK 73644
Phone (580) 243-1121

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, 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1033203765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480009",
            "telephone_number": "580-243-1121",
            "fax_number": "580-243-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442829",
            "telephone_number": "580-243-1121",
            "fax_number": "580-243-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINTZ",
        "first_name": "DANIEL",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.