Active NPI
Carolanne Hope Roach, OD
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1548416423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2581
- Practice address
- 1530 SW 89TH St Ste D6
Oklahoma City, OK 73159-6366 - Phone
- (405) 703-3163
- Fax
- (405) 353-6718
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2581 | OK | |
| Pediatric Optometrist | 152WP0200X | 2581 | OK | |
| Sports Vision Optometrist | 152WS0006X | 2581 | OK | |
| Vision Therapy Optometrist | 152WV0400X | 2581 | OK | |
| Optometrist | 152W00000X | 2581 | OK | Primary |
| Occupational Vision Optometrist | 152WX0102X | 2581 | OK |
Addresses
Primary practice location
1530 SW 89TH St Ste D6
Oklahoma City, OK 73159-6366
Mailing address
1530 SW 89TH St Ste D6
Oklahoma City, OK 73159-6366
Phone (405) 703-3163
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1530 SW 89TH St
Suite D2
Oklahoma City, OK 73159-6366
Phone (405) 703-3163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2581 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain & Eye Connection Vision Clinic, PC | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Locations
1530 SW 89th St
Ste D-6
Oklahoma City, OK 73159
Phone (405) 703-3163
1530 SW 89th St
Ste D2
Oklahoma City, OK 73159
Phone (405) 703-3163
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
- brainandeye@brain-and-eye-connection.direct.kno2fy.com
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Oklahoma City, OK
- NPI 1205105780
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1548416423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 SW 89TH ST STE D6",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596366",
"telephone_number": "405-703-3163",
"fax_number": "405-353-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 SW 89TH ST STE D6",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596366",
"telephone_number": "405-703-3163",
"fax_number": "405-353-6718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "CAROLANNE",
"middle_name": "HOPE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "OK",
"license": "2581",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OK",
"license": "2581",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OK",
"license": "2581",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OK",
"license": "2581",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2581",
"primary": true
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OK",
"license": "2581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.