Individual provider Active NPI

Payton Berry Lock

  • Optometrist
  • Edmond, OK
National Provider Identifier
1639973167
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3307 Issued in OK
Practice address
14701 N Santa Fe Ave
Edmond, OK 73013-3411
Phone
(405) 752-2733
NPI assigned
Apr 3, 2025
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3307 OK Primary

Addresses

Primary practice location

14701 N Santa Fe Ave
Edmond, OK 73013-3411

Mailing address

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 920-5222

Other practice location 1

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 920-5222

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
I20260506002979 OK Practitioner - Optometry 7810465952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14701 N Santa Fe Ave
Edmond, OK 73013-3411

15736 Patricia PL
Choctaw, OK 73020-6520

1800 Renaissance Blvd
Edmond, OK 73013-3023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3307OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Britton Vision Associates Inc Past Accepting new patients

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1639973167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-920-5222",
            "fax_number": "405-920-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133411",
            "telephone_number": "405-752-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Renaissance Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133023",
            "country_code": "US",
            "telephone_number": "405-920-5222",
            "fax_number": "405-920-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCK",
        "first_name": "PAYTON",
        "middle_name": "BERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.