Andrea Bertalotto Dudley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2215 Issued in OK

Practice address

5910 S Lewis
Tulsa, OK 74105-7112

Phone

(918) 745-9700

Fax

(918) 743-8107

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2011By the provider in NPPES

Sex

Female

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

Specialty

Optometry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as individual

Quality

73.31

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.dudley@direct.revolutionehr.com

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.

• Andrea B Dudley OD, Inc PC

  • Optometrist
  • Tulsa, OK
  • NPI 1235267394
  Medicare reassignment NPD Authorized official
• Kolker Vision Care

  • Optometrist
  • Tulsa, OK
  • NPI 1700911542
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1568544773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 S LEWIS",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057112",
            "telephone_number": "918-745-9700",
            "fax_number": "918-743-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 S LEWIS",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057112",
            "telephone_number": "918-745-9700",
            "fax_number": "918-743-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ANDREA",
        "middle_name": "BERTALOTTO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Duckett, M.D.
• Aaron L Duckworth
• Shanice Duckworth
• Trevor Dudark
• Alexia Vonzell Dudley
• Craig Stewart Dudley, D.D.S.
• Loralee Ann Dudley, APRN-CNP
• Patience Denise Dudley
• Tama Dudley, APRN
• Abigail Grace Dudney, DPT

• 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 8, 2011; 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.