Individual provider Active NPI

Kristina Cari Flaig, OD

  • Optometrist
  • Lawton, OK
National Provider Identifier
1578145769
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3123 Issued in OK
Practice address
901 SW Goodyear Blvd
Lawton, OK 73505-9755
Phone
(580) 531-5790
Fax
(580) 353-2022
NPI assigned
Apr 27, 2021
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2826 AR
Optometrist 152W00000X 3123 OK Primary

Addresses

Primary practice location

901 SW Goodyear Blvd
Lawton, OK 73505-9755

Mailing address

PO Box 736
Marlow, OK 73055-0736
Phone (580) 595-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902002405 AR Practitioner - Optometry 2961808712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2826ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Vision Development Center PA CurrentSince Aug 27, 2021 Accepting new patients
J Dean Nolan OD Inc Optometrist PastSince Jun 1, 2023 Accepting new patients

Locations

1021 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 478-8860

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1578145769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730550736",
            "telephone_number": "580-595-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW GOODYEAR BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059755",
            "telephone_number": "580-531-5790",
            "fax_number": "580-353-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAIG",
        "first_name": "KRISTINA",
        "middle_name": "CARI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2826",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.