Jo Pongsatien, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2864 Issued in OK

Practice address

5350 E 31St St Ste 302
Tulsa, OK 74135-5008

Phone

(918) 933-4075

Fax

(918) 779-7794

NPI assigned

Aug 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Newview Oklahoma Inc.

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1073827200
  Medicare reassignment
• Newview Oklahoma Inc.

  • Multi-Specialty Clinic/Center
  • Bartlesville, OK
  • NPI 1396209359

  Optometrist

  NPD (past)
• Tulsa Eye Associates Optical Inc

  • Optician
  • Tulsa, OK
  • NPI 1255471629
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1558747295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 E 31ST ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355011",
            "telephone_number": "918-933-4075",
            "fax_number": "918-779-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E 31ST ST STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355008",
            "telephone_number": "918-933-4075",
            "fax_number": "918-779-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGSATIEN",
        "first_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clell W Pond, DO
• Eric Pond
• Amber Ponder
• Michelle M Ponder, M.D.
• Janice Ponds
• Brianna Ponton
• Ponya Diagnostics of Oklahoma LLC
• Frannie Pool, OT
• Lindsey Pool
• Thomas Kentaro Koga Pool

• 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 Jul 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.