Individual provider Active NPI

Charles H Vanaki, O.D.

  • Optometrist
  • Edmond, OK
National Provider Identifier
1770896201
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2671 Issued in OK
Practice address
2200 W Danforth Rd
Edmond, OK 73003-4602
Phone
(405) 249-4498
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK2671 OK Primary

Addresses

Primary practice location

2200 W Danforth Rd
Edmond, OK 73003-4602

Mailing address

1303 Leo Rd
Edmond, OK 73003-5829
Phone (405) 249-4498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NE, IA, SC, CO, LA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20111128000595 OK Practitioner - Optometry 2264606441 Reassigns benefits to 1 organization
Practice locations: Edmond, OK
I20220602001189 NE Practitioner - Optometry 2264606441 Reassigns benefits to 1 organization
I20220719001800 IA Practitioner - Optometry 2264606441 Reassigns benefits to 1 organization
I20230703000598 SC Practitioner - Optometry 2264606441 Reassigns benefits to 1 organization
I20230907001909 CO Practitioner - Optometry 2264606441 Reassigns benefits to 1 organization
I20250820003047 LA Practitioner - Optometry 2264606441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Vision Care, LLC 8 clinicians
Aria Eye Care LLC 22 clinicians

Practice addresses (Care Compare)

324 N Robinson Ave
Suite 100
Oklahoma City, OK 73102-6417
Phone (888) 840-3032

830 S Broadway St
Acadia St Landry Guest House
Church Point, LA 70525-4402
Phone (337) 684-6316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1569NEMDMental Health Counselor
2671OKMDClinical Social Worker
OK2671OKMDOptometrist
2392SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Vision Care, LLC Optometrist CurrentSince Mar 18, 2022 Accepting new patients
Senior Vision Services LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Professional Provider Enterprise LLC Optometrist CurrentSince Jun 23, 2022 Accepting new patients
Charles Vanaki LLC Optometrist CurrentSince Dec 12, 2021 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients

Locations

1660 Allison St
Lakewood, CO 80214
Phone (303) 232-7177

2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463

7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466

3800 Commerce Blvd
Davenport, IA 52807
Phone (563) 332-7463

405 N 15th Ave
Hiawatha, IA 52233
Phone (319) 378-8583

5837 Winwood Dr
Johnston, IA 50131
Phone (515) 240-1100

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

2242 Wright St
Blair, NE 68008
Phone (402) 426-4663

1540 N 72nd St
Omaha, NE 68114
Phone (402) 393-8693

10826 Old Mill Rd
Ste 101
Omaha, NE 68154

10826 Old Mill Rd
Omaha, NE 68154
Phone (402) 256-7916

610 S Polk St
Papillion, NE 68046
Phone (402) 339-7700

2200 W Danforth Rd
Edmond, OK 73003
Phone (405) 216-0525

324 N Robinson Ave
Ste 100
Oklahoma City, OK 73102
Phone (801) 673-1393

3131 Newberry Hwy
Saluda, SC 29138
Phone (800) 898-3232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1770896201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 LEO RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035829",
            "telephone_number": "405-249-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W DANFORTH RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034602",
            "telephone_number": "405-249-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAKI",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.