Individual provider Active NPI

Lillian McEntire

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1659006872
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3180 Issued in OK
Practice address
10222 S Memorial Dr
Tulsa, OK 74133-7179
Phone
(918) 721-0200
Fax
(918) 922-7082
NPI assigned
Jul 21, 2022
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3180 OK Primary
Optometrist 152W00000X 2286 KS

Addresses

Primary practice location

10222 S Memorial Dr
Tulsa, OK 74133-7179

Mailing address

10222 S Memorial Dr
Tulsa, OK 74133-7179
Phone (918) 721-0200

Other names 1

  • Lillian McEntire Other 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
I20220808003162 OK Practitioner - Optometry 1850773854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Emily M. Bussey, O.D. P.C.Group PAC ID 7012102841, 3 clinicians

Practice addresses (Care Compare)

2225 SE Washington Blvd
Bartlesville, OK 74006-7136
Phone (918) 333-9292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily M. Bussey, O.D. P.C. Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Thomas Eye Care PC Optometrist CurrentSince Jul 21, 2022 Accepting new patients
Eyecare Associates of South Tulsa PC Optometrist PastSince Jan 1, 2024 Accepting new patients
Thomas Dental Care, P.C. PastSince Jul 1, 2022 Accepting new patients

Locations

2225 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 333-9292

12406 E 86th St N
Owasso, OK 74055
Phone (918) 376-2700

Organizations & group practices 4

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1659006872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337179",
            "telephone_number": "918-721-0200",
            "fax_number": "918-922-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337179",
            "telephone_number": "918-721-0200",
            "fax_number": "918-922-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTIRE",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3180",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "MCENTIRE",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.