Individual provider Active NPI

Phillip Allen Gelwick, O.D.

  • Corneal and Contact Management Optometrist
  • Tulsa, OK
National Provider Identifier
1679620199
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
908 Issued in OK
Practice address
1633 S Harvard Ave
Tulsa, OK 74112-6823
Phone
(918) 744-7638
Fax
(918) 744-5384
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 908 OK
Corneal and Contact Management Optometrist 152WC0802X 908 OK Primary

Addresses

Primary practice location

1633 S Harvard Ave
Tulsa, OK 74112-6823

Mailing address

1633 S Harvard Ave
Tulsa, OK 74112-6823
Phone (918) 744-7638

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
I20100215000736 OK Practitioner - Optometry 9830233899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1633 S Harvard Ave
Tulsa, OK 74112-6823
Phone (918) 744-7638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P a Gelwick, Inc. Optometrist CurrentSince Mar 2, 2004 Accepting new patients

Locations

1633 S Harvard Ave
Tulsa, OK 74112
Phone (918) 744-7638

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679620199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126823",
            "telephone_number": "918-744-7638",
            "fax_number": "918-744-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126823",
            "telephone_number": "918-744-7638",
            "fax_number": "918-744-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELWICK",
        "first_name": "PHILLIP",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "908",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.