Individual provider Active NPI

Matthew E Ozment, O.D.

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1669433249
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2368 Issued in OK
Practice address
2500 West New Orleans
Broken Arrow, OK 74011
Phone
(405) 248-6306
Fax
(405) 598-6558
NPI assigned
Mar 31, 2006
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK2368 OK Primary

Addresses

Primary practice location

2500 West New Orleans
Broken Arrow, OK 74011

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

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
I20070831000051 OK Practitioner - Optometry 1254424625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

2500 W New Orleans St
Broken Arrow, OK 74011-1574
Phone (918) 893-3769

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK2368OKMDOptometrist
2368OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

2500 W New Orleans St
Broken Arrow, OK 74011
Phone (405) 248-6306

1425 E Lincoln Rd
Ste A1
Idabel, OK 74745
Phone (580) 286-6000

111 S Lewis Ave
Tulsa, OK 74104
Phone (918) 582-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1669433249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WEST NEW ORLEANS",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74011",
            "telephone_number": "405-248-6306",
            "fax_number": "405-598-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZMENT",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.