Individual provider Active NPI

Dawn M Holsted, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1538214531
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2041 Issued in OK
Practice address
10900 Hefner Pointe Dr
Suite 101
Oklahoma City, OK 73120-5082
Phone
(405) 213-9493
NPI assigned
Jan 23, 2007
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2041 OK Primary

Addresses

Primary practice location

10900 Hefner Pointe Dr
Suite 101
Oklahoma City, OK 73120-5082

Mailing address

10900 Hefner Pointe Dr
Suite 101
Oklahoma City, OK 73120-5082
Phone (405) 213-9493

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
I20091216000342 OK Practitioner - Optometry 6608916044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10900 Hefner Pointe Dr
Suite 101
Oklahoma City, OK 73120-5065
Phone (405) 842-6060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2041OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Njvoc, PLLC Optometrist CurrentSince Jul 20, 2013 Accepting new patients
TLC the Laser Center (Northeast) Inc. Past Accepting new patients
Eyecare Associates of South Tulsa PC Optometrist PastSince Dec 1, 2013 Accepting new patients
TLC Vision Center PC Past Accepting new patients

Locations

10900 Hefner Pointe Dr
Ste 101
Oklahoma City, OK 73120
Phone (405) 842-6060

4141 NW Expressway
Ste 140
Oklahoma City, OK 73116
Phone (405) 842-6060

Interoperability endpoints

  • Direct secure messaging: dawn.holsted@direct.revolutionehr.com

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1538214531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 HEFNER POINTE DR",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205082",
            "telephone_number": "405-213-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 HEFNER POINTE DR",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205082",
            "telephone_number": "405-213-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTED",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.