Peyton Porter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3148 Issued in OK

Practice address

12140 S Waco Ave
Glenpool, OK 74033-5660

Phone

(918) 296-3937

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eyecare Jenks PLLCGroup PAC ID 3375884323, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Insight Eyecare Jenks PLLC

  • Optometrist
  • Jenks, OK
  • NPI 1215401146
  Medicare reassignment Care Compare group NPD
• Insight Eyecare PLLC

  • Optometrist
  • Glenpool, OK
  • NPI 1619228814
  Medicare reassignment NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1649943077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 S WACO AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740335660",
            "telephone_number": "918-296-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 S WACO AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740335660",
            "telephone_number": "918-296-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "PEYTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osu Center for Health Sciences
• Elizabeth Pearson, PTA
• Pediatric Rehabilitative Orthotic Services LTD Co
• Thang Muan Piang
• Tressie Platt, PT
• Premier Rheumatology of Oklahoma
• Donna J Price, D.O.
• Myron Dale Ratzlaff, D.C.
• Andrea Reed
• Region Dental

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.