Brittany Ann Wolthuizen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3049 Issued in OK

Practice address

317 E Aquarium PL
Jenks, OK 74037-6811

Phone

(918) 296-4733

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose Rock Eyecare PLLCGroup PAC ID 9234500406, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rose Rock Eyecare PLLC

  • Optometrist
  • Jenks, OK
  • NPI 1962146639
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1073168308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E AQUARIUM PL",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740376811",
            "telephone_number": "918-296-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E AQUARIUM PL",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740376811",
            "telephone_number": "918-296-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTHUIZEN",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS IN OPTOMETRY",
            "identifier": "3049",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williams Medical Group Practice, LLC
• Shelly Rose Williams, COTA
• Taylor Williams, M.S., CCC-SLP
• Ashlyn Williamson
• Allison Nicole Winters-Thompson, CM
• Ashley Anne Woltjer, MS, LPC-S, NCC
• Kallie Wommack
• Hayley Dawn Woods, B.A.
• Summer Wyers, MS, LPC, NCC
• Deadra Kay Wyman

• Optometrist in Jenks, OK
• Providers in Jenks, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.