Individual provider Active NPI

Myranda Rachel Partin, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1205313178
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3001 Issued in OK
Practice address
5600 N Portland Ave
Oklahoma City, OK 73112-2023
Phone
(405) 943-4413
Fax
(405) 942-0115
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3001 OK Primary

Addresses

Primary practice location

5600 N Portland Ave
Oklahoma City, OK 73112-2023

Mailing address

5600 N Portland Ave
Oklahoma City, OK 73112-2023
Phone (405) 943-4413

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
I20190708002521 OK Practitioner - Optometry 5395070734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partin Eyecare PCGroup PAC ID 4587097340, 2 clinicians

Practice addresses (Care Compare)

1100 N Mustang Rd
Mustang, OK 73064-7201
Phone (405) 376-9779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3001OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Partin Eyecare PC Optometrist CurrentSince May 1, 2023 Accepting new patients

Locations

1100 N Mustang Rd
Mustang, OK 73064
Phone (405) 256-7060

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1205313178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122023",
            "telephone_number": "405-943-4413",
            "fax_number": "405-942-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122023",
            "telephone_number": "405-943-4413",
            "fax_number": "405-942-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTIN",
        "first_name": "MYRANDA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.