Individual provider Active NPI

Tiffany Ann Harrel, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1265430839
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2336 Issued in OK
Practice address
8122 S Memorial Dr
Tulsa, OK 74133-4309
Phone
(918) 254-0447
NPI assigned
Jul 8, 2005
Last updated
Dec 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2336 OK Primary

Addresses

Primary practice location

8122 S Memorial Dr
Tulsa, OK 74133-4309

Mailing address

8122 S Memorial Dr
Tulsa, OK 74133-4309
Phone (918) 254-0447

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
I20041129000379 OK Practitioner - Optometry 4880659150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrel Vision PLLCGroup PAC ID 2567812001, 2 clinicians

Practice addresses (Care Compare)

8122 S Memorial Dr
Tulsa, OK 74133-4309
Phone (918) 254-0447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2336OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley a. Rainwater, O.D., P.C. Optometrist CurrentSince Dec 17, 2023 Accepting new patients
Harrel Vision, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Julie a Holmes, OD, PLLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients

Locations

8122 S Memorial Dr
Tulsa, OK 74133
Phone (918) 254-0447

9 E 4th St
Ste 105
Tulsa, OK 74103
Phone (918) 935-3500

Organizations & group practices 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1265430839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334309",
            "telephone_number": "918-254-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334309",
            "telephone_number": "918-254-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARREL",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.