Individual provider Active NPI

Max D Venard, OD

  • Optometrist
  • Moore, OK
National Provider Identifier
1497750251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK0932 Issued in OK
Practice address
705 City Ave
Moore, OK 73160-3819
Phone
(405) 794-7544
Fax
(405) 794-7599
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OK0932 OK Primary

Addresses

Primary practice location

705 City Ave
Moore, OK 73160-3819

Mailing address

705 City Ave
Moore, OK 73160-3819
Phone (405) 794-7544

Other identifiers 3

IdentifierTypeStateIssuer
100763670AMedicaidOK
730942327002OtherOKBCBS
1041330001OtherOKDMEPOS

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
I20100824000777 OK Practitioner - Optometry 4688587942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Vision Clinic PLLCGroup PAC ID 4981627593, 7 clinicians

Practice addresses (Care Compare)

705 City Ave
Moore, OK 73160-3819
Phone (405) 794-7544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Vision Clinic, PLLC Optometrist CurrentSince Sep 19, 2017 Accepting new patients
Norman Vision Clinic PLLC Optometrist Current Accepting new patients

Locations

705 City Ave
Moore, OK 73160
Phone (405) 794-7544

2501 Boardwalk
Norman, OK 73069
Phone (405) 321-2155

Interoperability endpoints

  • Direct secure messaging: mvenard@moorenormanvc.eyefinity-direct.com

Organizations & group practices 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497750251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CITY AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603819",
            "telephone_number": "405-794-7544",
            "fax_number": "405-794-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CITY AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603819",
            "telephone_number": "405-794-7544",
            "fax_number": "405-794-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENARD",
        "first_name": "MAX",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK0932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "730942327002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "1041330001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.