Individual provider Active NPI

Jacob Allred

  • Optometrist
  • Glenpool, OK
National Provider Identifier
1215729371
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3288 Issued in OK
Practice address
12140 S Waco Ave
Glenpool, OK 74033-5660
Phone
(918) 296-3937
NPI assigned
May 22, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3288 OK Primary

Addresses

Primary practice location

12140 S Waco Ave
Glenpool, OK 74033-5660

Mailing address

12140 S Waco Ave
Glenpool, OK 74033-5660

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
I20251001002462 OK Practitioner - Optometry 5597261255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eyecare PLLCGroup PAC ID 0749430676, 2 clinicians
Insight Eyecare Jenks PLLCGroup PAC ID 3375884323, 3 clinicians

Practice addresses (Care Compare)

12140 S Waco Ave
Glenpool, OK 74033-5660
Phone (918) 296-3937

301 W Main St
Jenks, OK 74037-3746
Phone (918) 299-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3288OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eyecare Jenks PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Insight Eyecare PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

12140 S Waco Ave
Glenpool, OK 74033
Phone (918) 296-3937

301 W Main St
Jenks, OK 74037
Phone (918) 299-2020

Organizations & group practices 2

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": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1215729371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 S WACO AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740335660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 S WACO AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740335660",
            "telephone_number": "918-296-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenpool, OK

Sources for this page

Verify at the official NPI Registry.