Active NPI
Leonard Wilkins, O.D.
- Corneal and Contact Management Optometrist
- Tahlequah, OK
National Provider Identifier
1689777468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 815
- Practice address
- 209 Woodlawn Ave
Tahlequah, OK 74464-3317 - Phone
- (918) 456-0585
- Fax
- (918) 456-6232
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 815 | OK | Primary |
Addresses
Primary practice location
209 Woodlawn Ave
Tahlequah, OK 74464-3317
Mailing address
209 Woodlawn Ave
Tahlequah, OK 74464-3317
Phone (918) 456-0585
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0676100001 | Other | DMERC/PIN | |
| 156833 | Other | FED NWO | |
| 100767470A | Medicaid | OK | |
| 5001 | Other | NEFN DISP | |
| 900243 | Other | OK | OK. NWO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | OK | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonard L. Wilkins O.D. | Past | Accepting new patients | |
| Wilkerson Eye Care, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Tahlequah, OK
- NPI 1508035346
-
- Optometrist
- Tahlequah, OK
- NPI 1508693409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1689777468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WOODLAWN AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643317",
"telephone_number": "918-456-0585",
"fax_number": "918-456-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WOODLAWN AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643317",
"telephone_number": "918-456-0585",
"fax_number": "918-456-6232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "LEONARD",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OK",
"license": "815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC/PIN",
"identifier": "0676100001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED NWO",
"identifier": "156833",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100767470A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEFN DISP",
"identifier": "5001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK. NWO",
"identifier": "900243",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.