Individual provider Active NPI

Tiffany E. Spencer, O.D.

  • Optometrist
  • Norman, OK
National Provider Identifier
1043571284
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2751 Issued in OK
Practice address
1350 E Imhoff Rd
Norman, OK 73071-4009
Phone
(405) 360-3590
Fax
(405) 360-0546
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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 2751 OK Primary

Addresses

Primary practice location

1350 E Imhoff Rd
Norman, OK 73071-4009

Mailing address

1350 E Imhoff Rd
Norman, OK 73071-4009
Phone (405) 360-3590

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
I20121012000573 OK Practitioner - Optometry 8527217272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Mindi Combs PLLCGroup PAC ID 3779850813, 2 clinicians

Practice addresses (Care Compare)

1350 E Imhoff Rd
Norman, OK 73071-4009
Phone (405) 360-3590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2751OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mindi Combs, PLLC Optometrist CurrentSince Jan 15, 2026 Accepting new patients

Locations

1350 E Imhoff Rd
Norman, OK 73071
Phone (405) 360-3590

Organizations & group practices 1

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1043571284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E IMHOFF RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730714009",
            "telephone_number": "405-360-3590",
            "fax_number": "405-360-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E IMHOFF RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730714009",
            "telephone_number": "405-360-3590",
            "fax_number": "405-360-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "TIFFANY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.