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
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.

View all 19

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 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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK2368OKMDOptometrist
2368OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Med Southwest, PLLC Optometrist Current 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) 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)CodeLicenseStatePrimary
Optometrist 152W00000X OK2368 OK Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
100847000BMedicaidOK
47-0898450OtherOKSUPERIOR VISION HARRAH
OK2368OtherOKEYEMED TECUMSEH
OP1609OtherOKEYEMED
TE18668OtherOKSPECTERA TECUMSEH
TECPLLCOtherOKVSP TECUMSEH
4054540099OtherOKVSP HARRAH
OK2368OtherOKEYEMED
HE28037OtherOKHARRAH 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

Verify at the official NPI Registry.