Individual provider Active NPI

Elizabeth Jean Cole, O.D.

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1346387289
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2418 Issued in OK
Practice address
1911 N Commerce St
Ardmore, OK 73401-1382
Phone
(580) 223-0055
Fax
(580) 223-0776
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2418 OK Primary

Addresses

Primary practice location

1911 N Commerce St
Ardmore, OK 73401-1382

Mailing address

1911 N Commerce St
Ardmore, OK 73401-1382
Phone (580) 223-0055

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
I20050304000011 OK Practitioner - Optometry 6901850700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Barnes Vision Clinic IncGroup PAC ID 8325091606, 2 clinicians

Practice addresses (Care Compare)

1911 N Commerce
Ardmore, OK 73401-1382
Phone (580) 223-0055

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes Vision Clinic, Inc. Optometrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

1911 N Commerce St
Ardmore, OK 73401
Phone (580) 223-0055

Interoperability endpoints

  • Direct secure messaging: elizabeth.cole@direct.revolutionehr.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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346387289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011382",
            "telephone_number": "580-223-0055",
            "fax_number": "580-223-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011382",
            "telephone_number": "580-223-0055",
            "fax_number": "580-223-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.