Individual provider Active NPI

Reuben Seth Thomas, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1417113275
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2583 Issued in OK
Practice address
6200 W Memorial Rd Ste a
Oklahoma City, OK 73142
Phone
(405) 730-0010
Fax
(405) 730-0015
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS1827 KS
Optometrist 152W00000X OK2583 OK Primary

Addresses

Primary practice location

6200 W Memorial Rd Ste a
Oklahoma City, OK 73142

Mailing address

6200 W Memorial Rd Ste a
Oklahoma City, OK 73142-2052
Phone (405) 730-0010

Other identifiers 1

IdentifierTypeStateIssuer
200501410ABMedicaidOK

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
I20131203001192 OK Practitioner - Optometry 8224165709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6200 W Memorial Rd a
Urban Optics
Oklahoma City, OK 73142-2052
Phone (405) 730-0010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1827KSMDClinical Social Worker
KS1827KSMDOptometrist
OK2583OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reuben Thomas O.D., P.L.L.C. Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Kyler Knobbe, OD, LLC Optometrist PastSince Aug 1, 2016 Accepting new patients
Mark Bettencourt, O.D. PC Optometrist PastSince Jun 30, 2015 Accepting new patients

Locations

6200 W Memorial Rd
Ste A
Oklahoma City, OK 73142
Phone (405) 300-0107

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1417113275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 W MEMORIAL RD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422052",
            "telephone_number": "405-730-0010",
            "fax_number": "405-730-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W MEMORIAL RD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73142",
            "telephone_number": "405-730-0010",
            "fax_number": "405-730-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "REUBEN",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1827",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200501410AB",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.