Individual provider Active NPI

Kayla Brooke Martin, OD

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1467180257
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3232 Issued in OK
Practice address
7101 NW Expressway Ste 130
Oklahoma City, OK 73132-1584
Phone
(405) 721-7450
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3232 OK Primary
Optometrist 152W00000X 18004357A IN

Addresses

Primary practice location

7101 NW Expressway Ste 130
Oklahoma City, OK 73132-1584

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20230828002220 OK Practitioner - Optometry 3678959434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of YukonGroup PAC ID 1254492572, 2 clinicians

Practice addresses (Care Compare)

1604 Professional Cir
Yukon, OK 73099-6314
Phone (405) 354-3624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 15, 2023 Accepting new patients
Eye Care Associates of Yukon Optometrist CurrentSince Sep 2, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 15, 2023 Accepting new patients

Locations

1425 E Lincoln Rd
Ste A1
Idabel, OK 74745
Phone (580) 286-6000

7101 NW Expressway
Ste 130
Oklahoma City, OK 73132
Phone (405) 721-7450

111 S Lewis Ave
Tulsa, OK 74104
Phone (918) 582-2020

8215 S Mingo Rd
Ste 100
Tulsa, OK 74133
Phone (918) 252-7432

4520 S Harvard Ave
Ste 135
Tulsa, OK 74135
Phone (918) 745-9662

1604 Professional Cir
Yukon, OK 73099
Phone (405) 354-3624

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1467180257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY STE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321584",
            "telephone_number": "405-721-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KAYLA",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3232",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004357A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.