Active NPI
Joana Cecilia Pantoja, O.D.
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1679240709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3144
- Practice address
- 14000 Quailbrook Dr.
Oklahoma City, OK 73134 - Phone
- (405) 751-7727
- Fax
- (405) 755-1875
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3144 | OK | Primary |
Addresses
Primary practice location
14000 Quailbrook Dr.
Oklahoma City, OK 73134
Mailing address
14000 Quailbrook Dr.
Oklahoma City, OK 73134
Phone (405) 751-7727
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 |
|---|---|---|---|---|
| I20211208000535 | OK | Practitioner - Optometry | 5991195844 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Samuel C. Oliphant, Inc
Practice addresses (Care Compare)
14000 Quailbrook Dr
Oklahoma City, OK 73134-1701
Phone (405) 751-7727
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3144 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel C. Oliphant, Inc | Optometrist | Current | Accepting new patients |
Locations
14000 Quailbrook Dr
Oklahoma City, OK 73134
Phone (405) 751-7727
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1679240709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 QUAILBROOK DR.",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73134",
"telephone_number": "405-751-7727",
"fax_number": "405-755-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 QUAILBROOK DR.",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73134",
"telephone_number": "405-751-7727",
"fax_number": "405-755-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTOJA",
"first_name": "JOANA",
"middle_name": "CECILIA",
"name_prefix": "Miss",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.