Individual provider Active NPI

Amelia Dawn Cheatham, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1619988482
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2328 Issued in OK
Practice address
6606 S Yale Ave Ste 220
Tulsa, OK 74136-3376
Phone
(918) 492-4122
Fax
(918) 492-7451
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2328 OK Primary

Addresses

Primary practice location

6606 S Yale Ave Ste 220
Tulsa, OK 74136-3376

Mailing address

6606 S Yale Ave Ste 220
Tulsa, OK 74136-3376
Phone (918) 492-4122

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
I20110708000490 OK Practitioner - Optometry 6103004437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Eye Consultants, Inc.Group PAC ID 4082801808, 2 clinicians

Practice addresses (Care Compare)

2448 E 81St St
Suite 3700
Tulsa, OK 74137-4257
Phone (918) 492-4122

6606 S Yale Ave
Tulsa, OK 74136-3376
Phone (918) 492-4122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Eye Consultants, Inc. CurrentSince Apr 7, 2011 Accepting new patients

Locations

2448 E 81st St
Ste 3700
Tulsa, OK 74137
Phone (918) 236-4000

6606 S Yale Ave
Ste 220
Tulsa, OK 74136
Phone (918) 492-4122

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619988482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 S YALE AVE STE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363376",
            "telephone_number": "918-492-4122",
            "fax_number": "918-492-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 S YALE AVE STE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363376",
            "telephone_number": "918-492-4122",
            "fax_number": "918-492-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "AMELIA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.