Bridget D Motley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2601 Issued in OK

Practice address

9805 N May Ave
Oklahoma City, OK 73120

Phone

(405) 749-2020

Fax

(405) 492-6446

NPI assigned

Aug 3, 2009

Last updated

Jun 29, 2018By 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 2

Addresses

Other identifiers 1

Other names 1

• Bridget Dawson Former name

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

Locations

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.

• Motley Vision Professionals, PLLC

  dba Full Spectrum Optometry

  • Optometrist
  • Oklahoma City, OK
  • NPI 1285134387
  Authorized official Same address or phone
• Childrens Eye Care P L L C

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1710098967
  NPD
• Ba Vision

  • Optometrist
  • Broken Arrow, OK
  • NPI 1194979765
  NPD (past)
• Hefner Pointe Youth Optical

  • Eyewear Supplier
  • Oklahoma City, OK
  • NPI 1801094644
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1609007053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202738",
            "telephone_number": "405-749-2020",
            "fax_number": "405-492-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-749-2020",
            "fax_number": "405-492-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "BRIDGET",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2815",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "DAWSON",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheila Diane Moss, FNP
• Karen Jean Mosshammer, LPC
• War Malachi X Mothershed
• Motivational Counseling Services, LLC
• Motley Vision Professionals, PLLC (Full Spectrum Optometry)
• Cody Motley, MD
• Connie Kay Motley, LPC
• Shunda Riva Moton-Bertrand
• Karen Motsenbocker, LCSW
• Saraia Motte

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.