Individual provider Active NPI

Peyton Isbell, OD

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1790412435
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3173 Issued in OK
Practice address
7101 NW Expressway Ste 130
Oklahoma City, OK 73132-1584
Phone
(405) 721-7450
Fax
(405) 721-7491
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3173 OK Primary

Addresses

Primary practice location

7101 NW Expressway Ste 130
Oklahoma City, OK 73132-1584

Mailing address

7101 NW Expressway Ste 130
Oklahoma City, OK 73132-1584
Phone (405) 721-7450

Other practice location 1

922 S Main St
Kingfisher, OK 73750-4400
Phone (405) 375-3128

Other identifiers 1

IdentifierTypeStateIssuer
3173OtherOKOD LICENSE

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
I20230411001389 OK Practitioner - Optometry 4284009952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15302 N May Ave
Edmond, OK 73013-8864

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kingfisher Family Eyecare Optometrist CurrentSince Mar 3, 2025 Accepting new patients
Eyesguys LLC Optometrist CurrentSince Dec 28, 2022 Accepting new patients
Gerald W. McMullin, O.D., Inc. Optometrist PastSince Feb 1, 2007 Accepting new patients

Locations

16135 N May Ave
Ste A
Edmond, OK 73013
Phone (405) 626-5503

922 S Main St
Kingfisher, OK 73750
Phone (405) 375-3128

7101 NW Expressway
Ste 130
Oklahoma City, OK 73132
Phone (405) 721-7450

7101 NW Expressway
Oklahoma City, OK 73132

Interoperability endpoints

  • Direct secure messaging: peyton.isbell.1@17753.direct.athenahealth.com

Organizations & group practices 4

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1790412435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY STE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321584",
            "telephone_number": "405-721-7450",
            "fax_number": "405-721-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY STE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321584",
            "telephone_number": "405-721-7450",
            "fax_number": "405-721-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 S Main St",
            "address_purpose": "LOCATION",
            "city": "Kingfisher",
            "state": "OK",
            "postal_code": "737504400",
            "country_code": "US",
            "telephone_number": "405-375-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISBELL",
        "first_name": "PEYTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "3173",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.