Individual provider Active NPI

Karlee Nicole Dearman, OD

  • Optometrist
  • Altus, OK
National Provider Identifier
1629806203
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3256 Issued in OK
Practice address
809 E Tamarack Rd
Altus, OK 73521-1231
Phone
(580) 482-1756
Fax
(580) 482-4279
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3256 OK Primary

Addresses

Primary practice location

809 E Tamarack Rd
Altus, OK 73521-1231

Mailing address

PO Box 899
Altus, OK 73522-0899
Phone (580) 482-1756

Other practice location 1

7758 US Highway 277
Elgin, OK 73538-2131
Phone (580) 454-1756

Other names 1

  • Karlee Nicole Graham Former name

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
I20240917001807 OK Practitioner - Optometry 6507307626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael W. Geiger, OD PCGroup PAC ID 1052472446, 5 clinicians

Practice addresses (Care Compare)

809 E Tamarack Rd
Altus, OK 73521-1231
Phone (580) 482-1756

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3256OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W. Geiger, OD PC Optometrist CurrentSince Jul 22, 2024 Accepting new patients

Locations

1425 N Main St
Altus, OK 73521
Phone (405) 477-1355

809 E Tamarack Rd
Altus, OK 73521
Phone (580) 482-1756

7758 US Highway 277
Elgin, OK 73538
Phone (580) 454-1756

315 S Main St
Frederick, OK 73542
Phone (580) 335-2020

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, 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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1629806203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735220899",
            "telephone_number": "580-482-1756",
            "fax_number": "580-482-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E TAMARACK RD",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211231",
            "telephone_number": "580-482-1756",
            "fax_number": "580-482-4279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7758 US Highway 277",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "OK",
            "postal_code": "735382131",
            "country_code": "US",
            "telephone_number": "580-454-1756",
            "fax_number": "580-454-4279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARMAN",
        "first_name": "KARLEE",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLEE",
            "last_name": "GRAHAM",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.