Active NPI
Brett M Enyart, O.D.
- Optometrist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2301
- Practice address
- 6140 S Memorial Dr
Tulsa, OK 74133-1933 - Phone
- (918) 252-2020
- Fax
- (918) 252-7466
- NPI assigned
- Jun 23, 2005
- Last updated
- May 26, 2020
- 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 | 2301 | OK | Primary |
Addresses
Primary practice location
6140 S Memorial Dr
Tulsa, OK 74133-1933
Mailing address
6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410045748 | Other | OK | MEDICARE ID |
| CO5028 | Other | OK | MEDICARE ID |
| 100763330A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | benyart@triadeye.intellechartdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5335 W Rogers Blvd B
Skiatook, OK 74070-5285
Phone (918) 396-4440
8023 E 63Rd PL
Suite 500
Tulsa, OK 74133-1209
Phone (918) 252-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 92.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301 | OK | MD | Speech-Language Pathologist |
| 7 | OK | MD | Radiology Practitioner Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brett Enyart, OD, PLLC | Optometrist | Current | Accepting new patients |
| Triad Surgery Center, LLC | Past | Accepting new patients | |
| Triad Surgery Center LLC | Past | Accepting new patients | |
| Triad Surgery Center LLC | Past | Accepting new patients | |
| Advantage Eyecare, P.C. | Optometrist | Past | Accepting new patients |
Locations
5335 W Rogers Blvd
Skiatook, OK 74070
Phone (918) 396-4440
5335 W Rogers Blvd
Ste B
Skiatook, OK 74070
Phone (918) 396-4440
Organizations & group practices 6
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.
-
- Optometrist
- Skiatook, OK
- NPI 1932458528
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1093743213
-
- Optometrist
- Skiatook, OK
- NPI 1720116932
-
- Ambulatory Surgical Clinic/Center
- Bartlesville, OK
- NPI 1205439650
-
- Ambulatory Surgical Clinic/Center
- Tulsa, OK
- NPI 1508862160
-
- Ambulatory Surgical Clinic/Center
- Grove, OK
- NPI 1083030597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1043216146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741331933",
"telephone_number": "918-252-2020",
"fax_number": "918-252-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741331933",
"telephone_number": "918-252-2020",
"fax_number": "918-252-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENYART",
"first_name": "BRETT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "410045748",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CO5028",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100763330A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "benyart@triadeye.intellechartdirect.net",
"affiliation": "N",
"address_1": "6140 S Memorial Dr",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741331933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.