Nicholas Cash Allensworth, OD
Individual provider Active NPI Optometrist · Edmond, OK
NPI 1730798281 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1730798281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3052 (OK)
- Practice address
- 3840 S Boulevard Ste 101
Edmond, OK 73013-5888 - Phone
- (405) 471-5252
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkside Eyecare PLLC
Eye Associates of Oklahoma PLLC
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 100
- Quality
- 96.81
- Improvement activities
- 40
- Cost
- 54.63
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200817001582 | OK | Practitioner - Optometry | 4385060706 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3052 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Oklahoma PLLC | Optometrist | Current |
Accepting new patients |
| Parkside Eyecare, PLLC | Optometrist | Current |
Accepting new patients |
| Bradley W. Fielding Optometrist, Inc | Optometrist | Past |
Accepting new patients |
Locations
3840 S Boulevard
Ste 101
Edmond, OK 73013
Phone (405) 471-5252
318 S Littler Ave
Edmond, OK 73034
Phone (405) 341-3567
1455 S Douglas Blvd
Ste D
Oklahoma City, OK 73130
Phone (405) 733-4545
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nallensworth@okc.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3052 | OK | Yes |
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
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.