Active NPI
Charles H Vanaki, O.D.
- Optometrist
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK2671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCAria Eye Care LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1569 | NE | MD | Mental Health Counselor |
| 2671 | OK | MD | Clinical Social Worker |
| OK2671 | OK | MD | Optometrist |
| 2392 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Senior Vision Services LLC | Optometrist | Current | Accepting new patients |
| Professional Provider Enterprise LLC | Optometrist | Current | Accepting new patients |
| Charles Vanaki LLC | Optometrist | Current | Accepting new patients |
| Aria Eye Care, LLC | Optometrist | Current | 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.
-
- Optometrist
- Edmond, OK
- NPI 1699433508
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.