Individual provider Active NPI

Nicholas Cash Allensworth, OD

  • Optometrist
  • Edmond, OK
National Provider Identifier
1730798281
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3052 Issued in OK
Practice address
3840 S Boulevard Ste 101
Edmond, OK 73013-5888
Phone
(405) 471-5252
NPI assigned
Jul 29, 2020
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3052 OK Primary

Addresses

Primary practice location

3840 S Boulevard Ste 101
Edmond, OK 73013-5888

Mailing address

3840 S Boulevard Ste 101
Edmond, OK 73013-5888
Phone (405) 471-5252

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001582 OK Practitioner - Optometry 4385060706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkside Eyecare PLLCGroup PAC ID 5193141372, 4 clinicians
Eye Associates of Oklahoma PLLCGroup PAC ID 3173522596, 14 clinicians

Practice addresses (Care Compare)

318 S Littler Ave
Edmond, OK 73034-3823
Phone (405) 341-3567

3840 S Boulevard
101 Jeffrey Shaver MD
Edmond, OK 73013-5888
Phone (405) 471-5252

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
96.81
Improvement activities
40
Cost
54.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Eyecare, PLLC Optometrist CurrentSince Jul 29, 2020 Accepting new patients
Eye Associates of Oklahoma PLLC Optometrist CurrentSince Jan 3, 2023 Accepting new patients
Bradley W. Fielding Optometrist, Inc Optometrist PastSince Jul 29, 2020 Accepting new patients

Locations

318 S Littler Ave
Edmond, OK 73034
Phone (405) 341-3567

3840 S Boulevard
Ste 101
Edmond, OK 73013
Phone (405) 471-5252

1455 S Douglas Blvd
Ste D
Oklahoma City, OK 73130
Phone (405) 733-4545

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nallensworth@okc.emadirect.md

Organizations & group practices 3

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1730798281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 S BOULEVARD STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135888",
            "telephone_number": "405-471-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 S BOULEVARD STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135888",
            "telephone_number": "405-471-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENSWORTH",
        "first_name": "NICHOLAS",
        "middle_name": "CASH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.