Active NPI
Nanki Kaleka, OD
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1124753108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3174
- Practice address
- 4301 N Classen Blvd
Oklahoma City, OK 73118-5031 - Phone
- (405) 604-3408
- NPI assigned
- Jul 22, 2022
- 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 | 3174 | OK | Primary |
Addresses
Primary practice location
4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Mailing address
4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Other practice location 1
5350 E 31st St # 302
Tulsa, OK 74135-5008
Phone (918) 779-7772
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3174 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newview Oklahoma Inc. | Optometrist | Current | Accepting new patients |
| Newview Oklahoma | Optometrist | Current | Accepting new patients |
| Newview Oklahoma Inc. | Optometrist | Past | Accepting new patients |
Locations
501 N Douglas Ave
Oklahoma City, OK 73106
Phone (405) 232-4644
4301 N Classen Blvd
Oklahoma City, OK 73118
Phone (405) 286-9699
5350 E 31st St
Ste 302
Tulsa, OK 74135
Phone (918) 933-4018
Organizations & group practices 3
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": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1124753108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185031",
"telephone_number": "405-604-3408"
}
],
"practiceLocations": [
{
"address_1": "5350 E 31st St # 302",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741355008",
"country_code": "US",
"telephone_number": "918-779-7772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALEKA",
"first_name": "NANKI",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.