Active NPI
Kalyn Dawn Austin, OD
- Optometrist
- Norman, OK
National Provider Identifier
1114417805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2980
- Practice address
- 1369 24TH Ave NW
Norman, OK 73069 - Phone
- (405) 366-1110
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 2980 | OK | Primary |
Addresses
Primary practice location
1369 24TH Ave NW
Norman, OK 73069
Mailing address
510 E Memorial Rd Ste A4
Oklahoma City, OK 73114-2218
Other practice location 1
8549 N Rockwell Ave
Oklahoma City, OK 73132-1521
Phone (405) 720-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey M. Butcher, OD, PC | Optometrist | Past | Accepting new patients |
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": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1114417805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E MEMORIAL RD STE A4",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731142218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1369 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "73069",
"telephone_number": "405-366-1110"
}
],
"practiceLocations": [
{
"address_1": "8549 N Rockwell Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731321521",
"country_code": "US",
"telephone_number": "405-720-8316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "KALYN",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.