Individual provider Active NPI

Haley Ruth Sparks, OD

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1861006918
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3094 Issued in OK
Practice address
8812 N Council Rd
Oklahoma City, OK 73132-3246
Phone
(405) 773-3937
NPI assigned
Sep 6, 2020
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 3094 OK Primary

Addresses

Primary practice location

8812 N Council Rd
Oklahoma City, OK 73132-3246

Mailing address

8812 N Council Rd
Oklahoma City, OK 73132-3246
Phone (405) 773-3937

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
I20210419000626 OK Practitioner - Optometry 1759799430 Reassigns benefits to 3 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
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

1425 E Lincoln Rd
A1 Med Southwest PLLC Dba Texarkana E
Idabel, OK 74745-7345
Phone (580) 286-6000

8812 N Council Rd
Oklahoma City, OK 73132-3246
Phone (405) 450-8700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3094OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brixton Opticians Optometrist CurrentSince Apr 6, 2021 Accepting new patients
Beatty-JTJV LLC Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Beatty-JTJV LLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Beatty-JTJV LLC Optometrist CurrentSince Jul 7, 2025 Accepting new patients

Locations

3505 W Kenosha St
Broken Arrow, OK 74012
Phone (918) 286-2020

1425 E Lincoln Rd
Ste A1
Idabel, OK 74745
Phone (580) 286-6000

8812 N Council Rd
Oklahoma City, OK 73132
Phone (405) 450-8700

111 S Lewis Ave
Tulsa, OK 74104
Phone (918) 582-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1861006918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 N COUNCIL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323246",
            "telephone_number": "405-773-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 N COUNCIL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323246",
            "telephone_number": "405-773-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "HALEY",
        "middle_name": "RUTH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.