Active NPI
Bibin J Cherian, OD
- Optometrist
- Bethany, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3061
- Practice address
- 4107 N Council Rd BLDG H
Bethany, OK 73008-3131 - Phone
- (405) 495-5170
- Fax
- (405) 787-0123
- NPI assigned
- May 5, 2020
- Last updated
- Sep 1, 2026
- 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 | 3061 | OK | Primary |
Addresses
Primary practice location
4107 N Council Rd BLDG H
Bethany, OK 73008-3131
Mailing address
200 W Covell Rd
Edmond, OK 73003-2346
Phone (405) 341-2062
Other practice location 1
1006 NE 17th St
Oklahoma City, OK 73111-1002
Phone (405) 419-9800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Covell Rd
Edmond, OK 73003-2346
Phone (405) 341-2062
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark B. Privott, O.D., Inc | Optometrist | Current | Accepting new patients |
| Community Health Centers Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc. | Current | Accepting new patients | |
| Precision Vision of Edmond, PLLC | Optometrist | Current | Accepting new patients |
| Community Health Centers Inc. | Past | Accepting new patients | |
| Scott C. Sigler MD PC | Past | Accepting new patients |
Locations
4107 N Council Rd
Bldg H
Bethany, OK 73008
Phone (405) 495-5170
7415 NW 23rd St
Bethany, OK 73008
Phone (405) 251-9959
200 W Covell Rd
Edmond, OK 73003
Phone (405) 341-2062
1006 NE 17th St
Oklahoma City, OK 73111
Phone (405) 272-0476
5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028
12716 NE 36th St
Spencer, OK 73084
Phone 40576933011254
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Edmond, OK
- NPI 1871923458
-
dba Mary Mahoney Memorial Health Center
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1265415806
-
dba Community Health Centers at Highland Park
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1679348908
-
- Optometrist
- Bethany, OK
- NPI 1225257249
-
dba Perry A. Klaassen Family Medical Center
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
-
- Ophthalmology Physician
- Edmond, OK
- NPI 1801831011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1801417464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W COVELL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730032346",
"telephone_number": "405-341-2062",
"fax_number": "405-341-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 N COUNCIL RD BLDG H",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083131",
"telephone_number": "405-495-5170",
"fax_number": "405-787-0123"
}
],
"practiceLocations": [
{
"address_1": "1006 NE 17th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731111002",
"country_code": "US",
"telephone_number": "405-419-9800",
"fax_number": "405-521-8496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERIAN",
"first_name": "BIBIN",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-05",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.