Leslie Mitchell Clary, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2516 Issued in OK

Practice address

1425 E 71St St
Tulsa, OK 74136-5038

Phone

(918) 446-3171

Fax

(918) 446-5938

NPI assigned

Sep 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.73 of 100Reported as group

Quality

95.73

Promoting interoperability

100

Improvement activities

40

Cost

76.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mclary@triadeye.intellechartdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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.

• Triad Eye Institute PLLC

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1093743213

  Optometrist

  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD (past)
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)
• Triad Eye Institute PLLC

  • Ophthalmology Physician
  • Grove, OK
  • NPI 1912323247
  NPD (past)
• Triad Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tulsa, OK
  • NPI 1508862160
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1548456064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365038",
            "telephone_number": "918-446-3171",
            "fax_number": "918-446-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365038",
            "telephone_number": "918-446-3171",
            "fax_number": "918-446-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "LESLIE",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200120640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Renae Clarke, BS
• Henriatta Clarke, MA, LPC
• Marilyn Kay Clarke, LCSW
• Emma Hughes Clary
• Kendall She Clary
• Amber Clason
• Makayla Classen
• Claudia Cook, LPC
• Greg Alan Clauson
• Kimberly Clauson

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.

Verify at the official NPI Registry.