Individual provider Active NPI

Bibin J Cherian, OD

  • Optometrist
  • Bethany, OK
National Provider Identifier
1801417464
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3061 Issued in OK
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000017 OK Practitioner - Optometry 8628472305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Vision of Edmond PLLCGroup PAC ID 6901037639, 2 clinicians

Practice addresses (Care Compare)

200 W Covell Rd
Edmond, OK 73003-2346
Phone (405) 341-2062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3061OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark B. Privott, O.D., Inc Optometrist CurrentSince May 18, 2025 Accepting new patients
Community Health Centers Inc. CurrentSince Jul 1, 2025 Accepting new patients
Community Health Centers, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Precision Vision of Edmond, PLLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Community Health Centers Inc. Past Accepting new patients
Scott C. Sigler MD PC PastSince Aug 1, 2021 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.

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

Verify at the official NPI Registry.