Individual provider Active NPI

Leslie Faulkner, O.D.

  • Optometrist
  • Bartlesville, OK
National Provider Identifier
1255748877
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2810 Issued in OK
Practice address
311 SE Delaware Ave
Bartlesville, OK 74003-3631
Phone
(918) 336-0607
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2810 OK Primary

Addresses

Primary practice location

311 SE Delaware Ave
Bartlesville, OK 74003-3631

Mailing address

311 SE Delaware Ave
Bartlesville, OK 74003-3631
Phone (918) 336-0607

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
I20140808001268 OK Practitioner - Optometry 6800013236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 SE Delaware Ave
Eyecare of Bartesville
Bartlesville, OK 74003-3631
Phone (918) 336-0607

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2810OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie a. Faulkner, O.D. PLLC Optometrist CurrentSince Jul 24, 2014 Accepting new patients
William E. Lee, OD, Inc. Optometrist CurrentSince Jul 24, 2014 Accepting new patients

Locations

311 SE Delaware Ave
Bartlesville, OK 74003
Phone (918) 336-0607

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1255748877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SE DELAWARE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033631",
            "telephone_number": "918-336-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SE DELAWARE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033631",
            "telephone_number": "918-336-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.