Individual provider Active NPI

Kyle E Craig, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1265689129
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2553 Issued in OK
Practice address
1701 S Peoria Ave
200
Tulsa, OK 74120-6801
Phone
(918) 599-0202
Fax
(918) 599-0279
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2553 OK Primary

Addresses

Primary practice location

1701 S Peoria Ave
200
Tulsa, OK 74120-6801

Mailing address

1701 S Peoria Ave
200
Tulsa, OK 74120-6801
Phone (918) 599-0202

Other identifiers 1

IdentifierTypeStateIssuer
200209770AMedicaidOK

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
I20081017000231 OK Practitioner - Optometry 4486712650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John a McFerron, OD IncGroup PAC ID 4587727599, 3 clinicians

Practice addresses (Care Compare)

16 2ND Ave NW
Miami, OK 74354-6225
Phone (918) 542-2020

1713 S Peoria Ave
Suite a
Tulsa, OK 74120-6801
Phone (918) 599-0202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare of Catoosa Hills Optometrist CurrentSince Jan 1, 2016 Accepting new patients
John a. McFerron, O.D. Inc. Optometrist CurrentSince Sep 23, 2025 Accepting new patients
Midtown Eyecare Optometrist CurrentSince Aug 21, 2008 Accepting new patients

Locations

2036 S Miller Ln
Ste E
Catoosa, OK 74015
Phone (918) 266-3937

650 S Cherokee St
Ste A
Catoosa, OK 74015
Phone (918) 266-3937

16 2nd Ave NW
Miami, OK 74354
Phone (918) 542-2020

1701 S Peoria Ave
Tulsa, OK 74120
Phone (918) 599-0202

1701 S Peoria Ave
Ste 200
Tulsa, OK 74120
Phone (918) 599-0202

1713 S Peoria Ave
Unit A
Tulsa, OK 74120
Phone (918) 599-0202

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1265689129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S PEORIA AVE",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206801",
            "telephone_number": "918-599-0202",
            "fax_number": "918-599-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S PEORIA AVE",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206801",
            "telephone_number": "918-599-0202",
            "fax_number": "918-599-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KYLE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200209770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.