Individual provider Active NPI

Rachel Cartmell Sires, OD

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1205497583
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003502 Issued in CO
Practice address
3202 S Memorial Dr Ste 2
Tulsa, OK 74145-1323
Phone
(918) 665-1800
NPI assigned
Jun 26, 2019
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003502 CO Primary

Addresses

Primary practice location

3202 S Memorial Dr Ste 2
Tulsa, OK 74145-1323

Mailing address

3202 S Memorial Dr Ste 2
Tulsa, OK 74145-1323
Phone (918) 665-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190910003286 CO Practitioner - Optometry 6800125295 Reassigns benefits to 2 organizations
I20201015000872 OK Practitioner - Optometry 6800125295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven D Cartmell IncGroup PAC ID 9638279763, 2 clinicians

Practice addresses (Care Compare)

3202 S Memorial Dr
Suite 2
Tulsa, OK 74145-1323
Phone (918) 665-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003502COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D Cartmell Inc Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jul 23, 2019 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jul 23, 2019 Accepting new patients

Locations

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

2800 Cornerstone Dr
Ste A6
Pagosa Springs, CO 81147
Phone (970) 731-4300

3202 S Memorial Dr
Ste 2
Tulsa, OK 74145
Phone (918) 665-1800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1205497583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-665-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-665-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRES",
        "first_name": "RACHEL",
        "middle_name": "CARTMELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.