Kyle Nicholas Tate, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2715 Issued in OK

Practice address

10010 E 81St St
Ste 100
Tulsa, OK 74133-4556

Phone

(918) 250-2020

NPI assigned

Jul 27, 2011

Last updated

Jul 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eyecare PLLCGroup PAC ID 0749430676, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight Eyecare Jenks PLLC

  dba Jenks Vision Center

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

  • Optometrist
  • Glenpool, OK
  • NPI 1619228814
  Medicare reassignment Care Compare group NPD Authorized official
• Insight Eyecare PLLC

  dba Insight Eyecare

  • Optometrist
  • Sapulpa, OK
  • NPI 1487990438
  NPD (past) Authorized official
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1659659498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 E 81ST ST",
            "address_2": "STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334556",
            "telephone_number": "918-250-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 E 81ST ST",
            "address_2": "STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334556",
            "telephone_number": "918-250-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KYLE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRIC PHYSICIAN LICENSE",
            "identifier": "2715",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Mattea Tate, PHARM.D
• Dwayne Remon Tate
• Emmett L Tate, M.D.
• Gabrielle Ane Tate
• Julie Marie Tate
• Melita Louise Tate, MD
• Patriciann M Tate, PAC
• Sara Tate
• Shelby Brenan Tate, M.D.
• Tawnesha Marie Tate

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.