NPIMap

Organization Active NPI

Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1679440762
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MED SOUTHWEST, PLLC
Practice address
5757 NW 132ND St
Oklahoma City, OK 73142-4437
Phone
(405) 728-8853
Fax
(405) 728-8855
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Sue Ann Downes
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5757 NW 132ND St
Oklahoma City, OK 73142-4437

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411000911 OK Part B Supplier - Clinic/Group Practice 4082952874 Receives reassigned benefits from 43 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tulsa, OK; Oklahoma City, OK; Idabel, OK; Edmond, OK; Broken Bow, OK; Broken Arrow, OK

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Med Southwest PLLC159 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

6351 E 67th Pl
Tulsa, OK 74136
Phone (918) 497-2002

3225 S 27th St
Abilene, TX 79605
Phone (325) 691-0101

827 E Lamar Blvd
Arlington, TX 76011
Phone (817) 275-0655

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

1311 Wellborn Rd
Ste A300
College Station, TX 77840
Phone (979) 764-0010

5495 Belt Line Rd
Ste 160
Dallas, TX 75254
Phone (972) 980-1773

3802 Joe Ramsey Blvd E
Greenville, TX 75401
Phone (903) 454-0471

4850 Main St
Houston, TX 77002
Phone (713) 523-5109

6970 FM 1960 Rd W
Ste A
Houston, TX 77069
Phone (281) 469-2020

2304 Judson Rd
Ste B
Longview, TX 75605
Phone (903) 758-9090

2144 N Belt Line Rd
Ste C
Mesquite, TX 75150
Phone (972) 329-1828

231 E FM 544
Ste 707
Murphy, TX 75094
Phone (972) 424-2211

2313 W Parker Rd
Plano, TX 75023
Phone (972) 612-2015

24200 Southwest Fwy
Ste 102
Rosenberg, TX 77471
Phone (281) 342-3554

1534 E Southlake Blvd
Southlake, TX 76092
Phone (817) 481-2070

6603 FM 2920 Rd
Spring, TX 77379
Phone (281) 370-4444

28301 State Highway 249
Ste 700
Tomball, TX 77375
Phone (281) 351-2020

4524 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-1530

Practitioners & affiliated clinicians

Practitioners 408

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 408

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1679440762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-728-8853",
            "fax_number": "405-728-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SOUTHWEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.