Organization Active NPI

Vinita Family Eyecare, PLLC

  • Optometrist
  • Vinita, OK
National Provider Identifier
1689447161
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VINITA FAMILY EYECARE, PLLC
Practice address
529 N Wilson St
Vinita, OK 74301-2428
Phone
(918) 373-2167
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ramie Lehelen Hazel Barnes, O.D.NPI 1972733897
Title
Owner
Phone
(918) 373-2167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

529 N Wilson St
Vinita, OK 74301-2428

Mailing address

PO Box 451239
Grove, OK 74345-1239
Phone (918) 373-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231212001847 OK Part B Supplier - Clinic/Group Practice 8325497696 Receives reassigned benefits from 4 practitioners
Practice locations: Vinita, OK
O20240702001435 OK DME Supplier - Physician - Optometrist 8325497696 Practice locations: Vinita, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2304631Vinita Family Eyecare, PLLC529 N Wilson St, Vinita, OK 74301Certificate of waiverMay 14, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vinita Family Eyecare, PLLC529 N Wilson St, Vinita, OK 74301-2428(918) 373-2167 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 16, 2023

National Provider Directory

National Provider Directory

Locations

529 N Wilson St
Vinita, OK 74301
Phone (918) 256-5543

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1689447161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451239",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743451239",
            "telephone_number": "918-373-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012428",
            "telephone_number": "918-373-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINITA FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RAMIE",
        "authorized_official_middle_name": "LEHELEN HAZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-373-2167",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.