Individual provider Active NPI

James Matthew Gentry, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1093787574
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2420 Issued in OK
Practice address
12208 S Western Ave Ste B
Oklahoma City, OK 73170-6119
Phone
(405) 735-3333
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2420 OK Primary

Addresses

Primary practice location

12208 S Western Ave Ste B
Oklahoma City, OK 73170-6119

Mailing address

12208 S Western Ave Ste B
Oklahoma City, OK 73170-6119
Phone (405) 735-3333

Other identifiers 2

IdentifierTypeStateIssuer
1502420MedicaidOK
200162110 AMedicaidOK

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
I20120918000864 OK Practitioner - Optometry 8527099977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2601 SW 119TH St
Suite B
Oklahoma City, OK 73170-2625
Phone (785) 317-7724

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1967KSMDRegistered Dietitian
2420OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gentry Eye Care PLLC Optometrist CurrentSince May 22, 2018 Accepting new patients
Eye Gallery PLLC Optometrist PastSince May 22, 2018 Accepting new patients

Locations

2601 SW 119th St
Ste B
Oklahoma City, OK 73170
Phone (405) 735-3333

12208 S Western Ave
Ste B
Oklahoma City, OK 73170
Phone (405) 735-3135

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1093787574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12208 S WESTERN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706119",
            "telephone_number": "405-735-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 S WESTERN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706119",
            "telephone_number": "405-735-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502420",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200162110 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.