Individual provider Active NPI

Terri Steddum, OD

  • Optometrist
  • Guthrie, OK
National Provider Identifier
1093905614
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2543 Issued in OK
Practice address
110 E Harrison Ave
Guthrie, OK 73044-4839
Phone
(405) 282-4396
Fax
(405) 282-7033
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2700 CO
Optometrist 152W00000X 2543 OK Primary

Addresses

Primary practice location

110 E Harrison Ave
Guthrie, OK 73044-4839

Mailing address

110 E Harrison Ave
Guthrie, OK 73044-4839
Phone (405) 282-4396

Other practice location 1

15702 E State Highway 9
Norman, OK 73026-9001
Phone (405) 447-0300

Other practice location 2

412 Eagleridge Blvd
Pueblo, CO 81008-2100
Phone (719) 553-0917

Other identifiers 4

IdentifierTypeStateIssuer
2543OtherOKSTATE LICENSE NUMBER
800522350OtherOKMEDICARE GROUP
200116210AMedicaidOK
2700OtherCOSTATE LICENSE NUMBER

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
I20080107000143 OK Practitioner - Optometry 3274613047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Vision Source PC IncGroup PAC ID 7416905237, 3 clinicians

Practice addresses (Care Compare)

110 E Harrison Ave
Guthrie, OK 73044-4839
Phone (405) 282-4396

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2700COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Vision Source PC, Inc. Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Terri L Steddum OD LLC Optometrist Past Accepting new patients

Locations

110 E Harrison Ave
Guthrie, OK 73044
Phone (405) 282-4396

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1093905614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HARRISON AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444839",
            "telephone_number": "405-282-4396",
            "fax_number": "405-282-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HARRISON AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444839",
            "telephone_number": "405-282-4396",
            "fax_number": "405-282-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15702 E State Highway 9",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730269001",
            "country_code": "US",
            "telephone_number": "405-447-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 Eagleridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082100",
            "country_code": "US",
            "telephone_number": "719-553-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEDDUM",
        "first_name": "TERRI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2543",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "800522350",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116210A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2700",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.