Individual provider Active NPI

Tara Comingdeer Fields, OD

  • Optometrist
  • Clinton, OK
National Provider Identifier
1861166241
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3118 Issued in OK
Practice address
Clinton Indian Health Center
10321 N 2274 Rd
Clinton, OK 73601-7360
Phone
(580) 331-3413
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3118 OK Primary

Addresses

Primary practice location

Clinton Indian Health Center
10321 N 2274 Rd
Clinton, OK 73601-7360

Mailing address

14299 Ranch Acres Dr
Tahlequah, OK 74464-5047
Phone (918) 207-7885

Other practice location 1

14299 Ranch Acres Dr
Tahlequah, OK 74464-5047
Phone (918) 207-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211122001236 TX Practitioner - Optometry 6305235805 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
El Reno Indian Health Center CurrentSince Aug 29, 2021 Accepting new patients
Watonga Indian Health Center CurrentSince Aug 29, 2021 Accepting new patients
Clinton Indian Health Center CurrentSince Aug 29, 2021 Accepting new patients

Locations

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

Organizations & group practices 3

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1861166241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14299 RANCH ACRES DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645047",
            "telephone_number": "918-207-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINTON INDIAN HEALTH CENTER",
            "address_2": "10321 N 2274 RD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736017360",
            "telephone_number": "580-331-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14299 Ranch Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744645047",
            "country_code": "US",
            "telephone_number": "918-207-7885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMINGDEER FIELDS",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.