Letitia Anjanette Brassfield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2030 Issued in OK

Practice address

10920 S Memorial Dr
Tulsa, OK 74133-7352

Phone

(918) 366-2020

Fax

(918) 794-2720

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Letitia Anji Brassfield Other name

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

Specialty

Optometry

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Jeff M. Long Enterprises, PLLCGroup PAC ID 3577727379, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dr. Jeff M. Long Enterprises, PLLC

  • Pediatric Optometrist
  • Tulsa, OK
  • NPI 1487912200
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1770576530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337352",
            "telephone_number": "918-366-2020",
            "fax_number": "918-794-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337352",
            "telephone_number": "918-366-2020",
            "fax_number": "918-794-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 W 71st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741322008",
            "country_code": "US",
            "telephone_number": "918-794-2020",
            "fax_number": "918-794-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "LETITIA",
        "middle_name": "ANJANETTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETITIA",
            "last_name": "BRASSFIELD",
            "middle_name": "ANJI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Ashleigh Brashears
• Aubrey Brashier
• Raven Elizabeth Brasseux, AUD
• Stephen Joseph Brasseux, M.D.
• Jillian Melinda Shawn Brassfield
• Kheni A Brasso, APRN-FNP
• Gary Braswell
• Jamie Bratcher
• Chance Bratten
• Cheryl Denise Bratton, MACCCSLP

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.