Active NPI
Joni S Couch, O.D.
- Optometrist
- Muskogee, OK
National Provider Identifier
1073592002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2470
- Practice address
- 3131 Military Blvd
Muskogee, OK 74401-2290 - Phone
- (918) 687-6600
- Fax
- (918) 687-6610
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2470 | OK | Primary |
Addresses
Primary practice location
3131 Military Blvd
Muskogee, OK 74401-2290
Mailing address
6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020
Other practice location 1
6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO5028 | Other | OK | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrussell@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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3131 Military Blvd
Muskogee, OK 74401-2290
Phone (918) 687-6600
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.56 of 100
- Quality
- 99.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 69 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2470 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Surgery Center LLC | Past | Accepting new patients | |
| Triad Eye Medical Clinic & Cataract Institute Co Inc | Optometrist | Past | Accepting new patients |
| Triad Surgery Center, LLC | Past | Accepting new patients | |
| Triad Surgery Center LLC | Past | Accepting new patients |
Interoperability endpoints
- jrussell@triadeye.intellechartdirect.net
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1093743213
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1265565147
Optometrist
-
- 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": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073592002",
"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": "918-307-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 MILITARY BLVD",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012290",
"telephone_number": "918-687-6600",
"fax_number": "918-687-6610"
}
],
"practiceLocations": [
{
"address_1": "6140 S Memorial Dr",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741331933",
"country_code": "US",
"telephone_number": "918-252-2020",
"fax_number": "918-307-1983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUCH",
"first_name": "JONI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2022-07-21",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CO5028",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrussell@triadeye.intellechartdirect.net",
"affiliation": "N",
"address_1": "3131 Military Blvd",
"city": "Muskogee",
"state": "OK",
"country_code": "US",
"postal_code": "744012290",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.