Individual provider Active NPI

Caitlin Brooke Chevalier, OD

  • Optometrist
  • Vinita, OK
National Provider Identifier
1548747272
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2970 Issued in OK
Practice address
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone
(918) 256-4800
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2970 OK Primary

Addresses

Primary practice location

27371 S 4410 Rd
Vinita, OK 74301-7953

Mailing address

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone (918) 444-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180921000524 TX Practitioner - Optometry 1456602002 Reassigns benefits to 1 organization
I20181016000323 OK Practitioner - Optometry 1456602002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Michael W Gaydos OD PCGroup PAC ID 2567785686, 3 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

10304 N Garnett Rd
Owasso, OK 74055-6435
Phone (918) 272-5755

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2970OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Aug 6, 2018 Accepting new patients
Northeastern State University College of Optometry Optometrist CurrentSince Aug 19, 2018 Accepting new patients
Michael W Gaydos, OD PC Optometrist CurrentSince Aug 17, 2023 Accepting new patients
Emily M. Bussey, O.D. P.C. Optometrist CurrentSince Jan 3, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Aug 6, 2018 Accepting new patients
Eyecare Associates of South Tulsa PC Optometrist Past Accepting new patients

Locations

2225 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 333-9292

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

10304 N Garnett Rd
Owasso, OK 74055
Phone (918) 272-5755

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511

870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1548747272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647017",
            "telephone_number": "918-444-4000",
            "fax_number": "918-458-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27371 S 4410 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017953",
            "telephone_number": "918-256-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVALIER",
        "first_name": "CAITLIN",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

Verify at the official NPI Registry.