Individual provider Active NPI

Brian Steven Phelps, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
National Provider Identifier
1689866576
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
29650 Issued in OK
Practice address
1851 S Kelly Ave Ste a
Edmond, OK 73013-3929
Phone
(405) 607-6699
Fax
(405) 607-6685
NPI assigned
Aug 14, 2007
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 29650 OK
Retina Specialist (Ophthalmology) Physician 207WX0107X 29650 OK Primary

Addresses

Primary practice location

1851 S Kelly Ave Ste a
Edmond, OK 73013-3929

Mailing address

PO Box 410108
Kansas City, MO 64141-0108
Phone (405) 607-6699

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130824000062 OK Practitioner - Ophthalmology 1850561655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous Center, PLLCGroup PAC ID 3375712763, 7 clinicians

Practice addresses (Care Compare)

1851 S Kelly Ave
Suite a
Edmond, OK 73013-3929
Phone (405) 607-6699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29650OKMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Center, PLLC Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
Eye Care Now, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1008 NW 139th Street Pkwy
Edmond, OK 73013
Phone (405) 607-6699

1851 S Kelly Ave
Edmond, OK 73013

1851 S Kelly Ave
Ste A
Edmond, OK 73013
Phone (405) 607-6699

1851 S Kelly Ave
Ste B
Edmond, OK 73013
Phone (405) 373-2273

1020 N Main St
Elk City, OK 73644
Phone (580) 255-1555

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

5370 NW Cache Rd
Ste 6
Lawton, OK 73505
Phone (405) 607-6699

5606 SW Lee Blvd
Ste 301
Lawton, OK 73505
Phone (580) 510-3018

1455 S Douglas Blvd
Ste A
Midwest City, OK 73130
Phone (405) 607-6699

1125 N Porter Ave
Ste 100
Norman, OK 73071
Phone (405) 360-6736

1411 W 12th Ave
Ste C
Stillwater, OK 74074
Phone (405) 607-6699

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1689866576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410108",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641410108",
            "telephone_number": "405-607-6699",
            "fax_number": "405-607-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 S KELLY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133929",
            "telephone_number": "405-607-6699",
            "fax_number": "405-607-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "BRIAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "29650",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "29650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.