Individual provider Active NPI

Amie Rebekah Straub, O.D.

  • Optometrist
  • Altus, OK
National Provider Identifier
1457438335
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2505 Issued in OK
Practice address
112 Val Verde St
Suite C
Altus, OK 73521-1190
Phone
(580) 482-0051
NPI assigned
Oct 31, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 2505 OK Primary

Addresses

Primary practice location

112 Val Verde St
Suite C
Altus, OK 73521-1190

Mailing address

106 Gaynelle LN
Hobart, OK 73651-1417
Phone (580) 726-2512

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
I20070417000575 OK Practitioner - Optometry 1153426366 Reassigns benefits to 1 organization
Practice locations: Altus, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wald Eyecare LLCGroup PAC ID 5496111478, 2 clinicians

Practice addresses (Care Compare)

112 Val Verde St
Suite C
Altus, OK 73521-1190
Phone (580) 482-0051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2505OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wald Eyecare LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Scott Eye Care P L L C Optometrist Past Accepting new patients
Dwight C Shreck OD Optometrist Past Accepting new patients

Locations

112 Val Verde St
Ste C
Altus, OK 73521
Phone (580) 482-0051

212 S Main St
Hobart, OK 73651
Phone (405) 701-1122

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1457438335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GAYNELLE LN",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511417",
            "telephone_number": "580-726-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 VAL VERDE ST",
            "address_2": "SUITE C",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211190",
            "telephone_number": "580-482-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "AMIE",
        "middle_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.