Bryan L Womack, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2630 Issued in OK

Practice address

9424 N May Ave
Oklahoma City, OK 73120-2712

Phone

(405) 751-8851

Fax

(405) 751-5058

NPI assigned

Aug 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Bright Eyes Family Eyecare, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1912284167
  Medicare reassignment NPD Authorized official
• Butcher Optical III, Inc

  • Optometrist
  • Oklahoma City, OK
  • NPI 1043588791
  NPD (past)
• Jeffrey M. Butcher, OD, PC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1013031525
  NPD (past)
• John D. Bishop, O. D., Inc.

  • Eyewear Supplier
  • Oklahoma City, OK
  • NPI 1700068913
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1376774406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202712",
            "telephone_number": "405-751-8851",
            "fax_number": "405-751-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202712",
            "telephone_number": "405-751-8851",
            "fax_number": "405-751-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "BRYAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David John Wolma, D.O.
• Leanne Beth Wolraich
• Mark L Wolraich, MD
• Rebecca Wolters, M.S., CCC-SLP
• Aaron Womack
• Celine Womack, ARNP
• Charles Erwin Womack, M.D.
• Dawn Cerise Womack, ARNP
• James Michael Womack, D.D.S.
• Kyle Womack, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.