Jonathan Poe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2747 Issued in OK

Practice address

2008 S Post Rd
Midwest City, OK 73130-6610

Phone

(405) 732-2277

NPI assigned

Jul 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-del Vision Source, PLLCGroup PAC ID 3274768239, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

36.31 of 100Reported as group

Quality

72.61

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jpoe@middelvisionsource.eyefinity-direct.com

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.

• Mid-del Vision Source, PLLC

  • Eyewear Supplier
  • Midwest City, OK
  • NPI 1982940508
  Medicare reassignment Care Compare group
• Mid-del Vision Source PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1285252213
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1851646178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 S POST RD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306610",
            "telephone_number": "405-732-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 S POST RD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306610",
            "telephone_number": "405-732-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "JONATHAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Pittman
• Tamiyah Pittman, RBT
• Helen Pitts
• Jeff Plunkett, LPC
• PMC Providers, Inc.
• Frank Steven Pollack IV, PTA
• Charles Pollard III, NP
• Patricia Ann Poole, CRSS
• Port Lawrence Behavioral Health Services LLC
• Positive Solutions

• Optometrist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.

Verify at the official NPI Registry.