Individual provider Active NPI

Wamika Kumar, OD

  • Optometrist
  • Durant, OK
National Provider Identifier
1730700303
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10125 Issued in TX
Practice address
1901 W University Blvd
Durant, OK 74701-3098
Phone
(580) 920-2020
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10125 TX Primary
Optometrist 152W00000X 3081 OK

Addresses

Primary practice location

1901 W University Blvd
Durant, OK 74701-3098

Mailing address

1901 W University Blvd
Durant, OK 74701-3098
Phone (580) 920-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210818000010 TX Practitioner - Optometry 3476979261 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brodsky and Weikum, IncGroup PAC ID 8527241975, 3 clinicians

Practice addresses (Care Compare)

2100 Ross Ave
260 LB4
Dallas, TX 75201-6750

2208 W Shady Grove
Irving, TX 75060-5056
Phone (972) 313-9505

2208 W Shady Grove Rd
Irving, TX 75060-5056

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3081OKMDProfessional Counselor
10125TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brodsky & Weikum, Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Oak Cliff Eye Clinic PLLC CurrentSince May 1, 2023 Accepting new patients
Arlington Ophthalmology Association PLLC Optometrist CurrentSince Jan 3, 2022 Accepting new patients
Clarke Eyecare Center, LLP Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Staten Island Physician Practice PC Past Accepting new patients

Locations

350 E Interstate 20
Arlington, TX 76018
Phone (817) 784-6771

2100 Ross Ave
Ste 260
Dallas, TX 75201
Phone (214) 220-2425

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

2100 Ross Ave
Dallas, TX 75201
Phone (855) 204-3923

2301 S Hampton Rd
Ste 500
Dallas, TX 75224
Phone (214) 330-3937

2208 W Shady Grove Rd
Irving, TX 75060
Phone (972) 313-9505

3645 Dallas Pkwy
Ste 545
Plano, TX 75093
Phone (214) 440-5200

2520 N Central Expy
Ste 200
Richardson, TX 75080
Phone (469) 435-3045

4314 Kemp Blvd
Wichita Falls, TX 76308
Phone (940) 691-5645

Organizations & group practices 5

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1730700303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013098",
            "telephone_number": "580-920-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013098",
            "telephone_number": "580-920-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "WAMIKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10125",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.