Individual provider Active NPI

Arika Lynne Nelson

  • Optometrist
  • Bixby, OK
National Provider Identifier
1619586336
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3089 Issued in OK
Practice address
13404 S Memorial Dr
Bixby, OK 74008-3104
Phone
(918) 369-2020
Fax
(918) 369-8600
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3089 OK Primary

Addresses

Primary practice location

13404 S Memorial Dr
Bixby, OK 74008-3104

Mailing address

7315 S Laurel PL
Broken Arrow, OK 74011-4541
Phone (918) 312-1685

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200803003019 OK Practitioner - Optometry 1658796917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Clinics IncGroup PAC ID 7517019391, 2 clinicians

Practice addresses (Care Compare)

13404 S Memorial Dr
Bixby, OK 74008-3104
Phone (918) 369-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3089OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinics Inc Optometrist CurrentSince Jul 29, 2020 Accepting new patients

Locations

13404 S Memorial Dr
Bixby, OK 74008
Phone (918) 369-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1619586336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 S LAUREL PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114541",
            "telephone_number": "918-312-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13404 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083104",
            "telephone_number": "918-369-2020",
            "fax_number": "918-369-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ARIKA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

Verify at the official NPI Registry.