Individual provider Active NPI

Lauren Rachelle Cisper, O.D.

  • Optometrist
  • Claremore, OK
National Provider Identifier
1255773594
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2769 Issued in OK
Practice address
221 S Florence Ave
150
Claremore, OK 74017-7262
Phone
(918) 341-2020
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 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 2769 OK Primary

Addresses

Primary practice location

221 S Florence Ave
150
Claremore, OK 74017-7262

Mailing address

30725 S Powers LN
Inola, OK 74036-3057

Other names 1

  • Lauren Rachelle Frost Former name

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
I20130918000723 OK Practitioner - Optometry 7012151764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2769OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Nov 6, 2023 Accepting new patients

Locations

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300

Interoperability endpoints

  • Direct secure messaging: lcisper304351@direct.saintfrancis.com

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1255773594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30725 S POWERS LN",
            "city": "INOLA",
            "state": "OK",
            "postal_code": "740363057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S FLORENCE AVE",
            "address_2": "150",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740177262",
            "telephone_number": "918-341-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISPER",
        "first_name": "LAUREN",
        "middle_name": "RACHELLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "FROST",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.