Individual provider Active NPI

Anthony Battese, O.D

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1710396965
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2801 Issued in OK
Practice address
3821 W El Paso St
Broken Arrow, OK 74012-4513
Phone
(580) 919-8631
NPI assigned
Aug 12, 2014
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2801 OK Primary

Addresses

Primary practice location

3821 W El Paso St
Broken Arrow, OK 74012-4513

Mailing address

3821 W El Paso St
Broken Arrow, OK 74012-4513
Phone (580) 919-8631

Other identifiers 2

IdentifierTypeStateIssuer
200557140AMedicaidOK
200557140MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141202002207 TX Practitioner - Optometry 2365764388 Reassigns benefits to 1 organization
I20220524000220 OK Practitioner - Optometry 2365764388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Institute IncGroup PAC ID 7911995337, 19 clinicians

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 1010
Tulsa, OK 74104-5646
Phone (918) 747-3937

3821 W El Paso St
Broken Arrow, OK 74012-4513
Phone (580) 919-8631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2801OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Oct 7, 2014 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 7, 2014 Accepting new patients
Nocona Vision PLLC Optometrist CurrentSince Aug 12, 2023 Accepting new patients
Christopher Lyons OD PLLC Optometrist CurrentSince Apr 26, 2024 Accepting new patients
The Eye Institute Inc CurrentSince May 1, 2022 Accepting new patients
Marc a Goldberg MD PC Past Accepting new patients

Locations

111 W Broadway Ave
Broken Arrow, OK 74012
Phone (918) 258-5656

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

530 W I 240 Service Rd
Oklahoma City, OK 73139
Phone (405) 632-6913

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

2000 S Wheeling Ave
Ste 1010
Tulsa, OK 74104
Phone (918) 584-4433

2000 S Wheeling Ave
Ste 500
Tulsa, OK 74104

Interoperability endpoints

  • Direct secure messaging: ab@eyeinstitute.ecldirect.net
  • Direct secure messaging: abattese@teiok.intellechartdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1710396965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W EL PASO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124513",
            "telephone_number": "580-919-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W EL PASO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124513",
            "telephone_number": "580-919-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTESE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200557140A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200557140",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.