Active NPI
Max D Venard, OD
- Optometrist
- Moore, OK
National Provider Identifier
1497750251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK0932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100763670A | Medicaid | OK | |
| 730942327002 | Other | OK | BCBS |
| 1041330001 | Other | OK | DMEPOS |
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
Enrollment records 1
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
Practice addresses (Care Compare)
705 City Ave
Moore, OK 73160-3819
Phone (405) 794-7544
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Vision Clinic, PLLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Norman, OK
- NPI 1376659417
-
- Optometrist
- Moore, OK
- NPI 1982149969
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.