Active NPI
Matthew E Ozment, O.D.
- Optometrist
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK2368
- Practice address
- 2500 West New Orleans
Broken Arrow, OK 74011 - Phone
- (405) 248-6306
- Fax
- (405) 598-6558
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
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.
-
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- Idabel, OK
- NPI 1336605633
-
- Optometrist
- Tulsa, OK
- NPI 1124798160
-
- Optometrist
- Tulsa, OK
- NPI 1952071995
-
- Optometrist
- Tulsa, OK
- NPI 1972244812
-
- Optometrist
- El Dorado, AR
- NPI 1124588405
-
- Optometrist
- Beaumont, TX
- NPI 1558900373
-
- Optometrist
- Magnolia, AR
- NPI 1093271397
-
- Optometrist
- Hurst, TX
- NPI 1366066466
-
- Optometrist
- Longview, TX
- NPI 1487290441
-
- Optometrist
- Arkadelphia, AR
- NPI 1497211783
-
- Optometrist
- Sherwood, AR
- NPI 1538766175
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 PLLC
Practice addresses (Care Compare)
2500 W New Orleans St
Broken Arrow, OK 74011-1574
Phone (918) 893-3769
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070831000051 | OK | Practitioner - Optometry | 1254424625 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK2368 | OK | MD | Optometrist |
| 2368 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
Locations
2500 W New Orleans St
Broken Arrow, OK 74011
Phone (405) 213-3837
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OK2368 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2500 West New Orleans
Broken Arrow, OK 74011
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Other identifiers 9
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100847000B | Medicaid | OK | |
| 47-0898450 | Other | OK | SUPERIOR VISION HARRAH |
| OK2368 | Other | OK | EYEMED TECUMSEH |
| OP1609 | Other | OK | EYEMED |
| TE18668 | Other | OK | SPECTERA TECUMSEH |
| TECPLLC | Other | OK | VSP TECUMSEH |
| 4054540099 | Other | OK | VSP HARRAH |
| OK2368 | Other | OK | EYEMED |
| HE28037 | Other | OK | HARRAH SPECTERA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2021.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100847000B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR VISION HARRAH",
"identifier": "47-0898450",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED TECUMSEH",
"identifier": "OK2368",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OP1609",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA TECUMSEH",
"identifier": "TE18668",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP TECUMSEH",
"identifier": "TECPLLC",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP HARRAH",
"identifier": "4054540099",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OK2368",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRAH SPECTERA",
"identifier": "HE28037",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.