Vivid Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VIVID EYECARE PLLC

Practice address

307 S Locust St Ste B
Nowata, OK 74048-3622

Phone

(918) 559-3257

Fax

(918) 559-3261

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Caitlyn Marie Mefford, ODNPI 1467006296

Title

Doctor of Optometry/Owner

Phone

(918) 559-9102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlyn Marie Mefford, OD

  • Optometrist
  • Nowata, OK
  • NPI 1467006296
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1295514917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S LOCUST ST",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483622",
            "telephone_number": "918-559-3257",
            "fax_number": "918-559-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S LOCUST ST STE B",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483622",
            "telephone_number": "918-559-3257",
            "fax_number": "918-559-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MEFFORD",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY/OWNER",
        "authorized_official_telephone_number": "918-559-9102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Renee Travis
• D'Angela Turner
• Deborah Sue Vanderpool, LPC
• Stacey Dawn Vang, RD/LD
• Amelia Marie Vaughan
• Joy Alice Wahnee, MS LADC
• Trica Deann Walters
• John Wesley Ward
• Kelsey Lynn Ward
• Faye Ann Watson, RD, LD

• Optometrist in Nowata, OK
• Providers in Nowata, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.