Individual provider Active NPI

Valerie Lobodiak

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1215318878
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31493 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone
(405) 271-5963
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 31493 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014

Mailing address

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vlobodiak@triadeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190806000640 OK Practitioner - Ophthalmology 5799084596 Reassigns benefits to 1 organization
I20241105000950 AR Practitioner - Ophthalmology 5799084596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

Practice addresses (Care Compare)

2783 N Shiloh Dr
Fayetteville, AR 72704-6984
Phone (479) 442-8653

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
95.73
Promoting interoperability
100
Improvement activities
40
Cost
76.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Eye Institute PLLC Ophthalmology CurrentSince Aug 15, 2019 Accepting new patients
Triad Surgery Center LLC PastSince Jul 1, 2023 Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center, LLC Past Accepting new patients

Locations

1102 NW Lowes Ave
Ste 6
Bentonville, AR 72712
Phone (479) 442-8653

3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020

1715 N Lynn Riggs Blvd
#1
Claremore, OK 74017
Phone (918) 342-4222

63223 E 290 Rd
Grove, OK 74344
Phone (918) 786-3931

1001 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 302-9232

3131 Military Blvd
Muskogee, OK 74401
Phone (918) 290-2300

1020 NE 1st St
Pryor, OK 74361
Phone (918) 342-4222

6827 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

3906 S Peoria Ave
Tulsa, OK 74105
Phone (918) 585-1523

6140 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

8023 E 63rd Pl
Ste 500
Tulsa, OK 74133
Phone (918) 252-2020

Interoperability endpoints

  • Direct secure messaging: vlobodiak@triadeye.intellechartdirect.net

Organizations & group practices 6

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1215318878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-252-2020",
            "fax_number": "918-307-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBODIAK",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "31493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlobodiak@triadeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "6140 S Memorial Dr",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741331933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.