Jackie E Powers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2496 Issued in OK

Practice address

3539 W Main St
Norman, OK 73072-4811

Phone

(405) 573-9166

Fax

(405) 573-9768

NPI assigned

Aug 18, 2006

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Jacquelyn Powers OD PC

  • Optometrist
  • Norman, OK
  • NPI 1891952453
  Medicare reassignment

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1578677605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724811",
            "telephone_number": "918-527-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724811",
            "telephone_number": "405-573-9166",
            "fax_number": "405-573-9768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 SW 19th St",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603049",
            "country_code": "US",
            "telephone_number": "405-759-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JACKIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200110110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Powell
• Steven Eugene Powell, D.D.S.
• Viki Powell, RN
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Deshia R Powers, LPC
• Shauna Pearl Prater
• Kimball N Pratt, M.D.
• Lauren Pratt, PA-C
• Precision Medical, PLLC
• Precision Therapy Services, L.L.C. (Precision Therapy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.