Individual provider Active NPI

Jarrett L Wingfield, OD

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1871229583
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3208 Issued in OK
Practice address
7472 E Admiral PL
Tulsa, OK 74115-7913
Phone
(918) 836-2020
Fax
(866) 834-4717
NPI assigned
Jul 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3208 OK Primary

Addresses

Primary practice location

7472 E Admiral PL
Tulsa, OK 74115-7913

Mailing address

5312 W 41St St
Tulsa, OK 74107-6110
Phone (918) 800-2020

Other practice location 1

230 S Highway 97 Ste B
Sand Springs, OK 74063-6571
Phone (918) 241-2020

Other identifiers 1

IdentifierTypeStateIssuer
3208OtherOKBOARD OF EXAMINERS IN OPTOMETRY STATE OF OKLAHOMA

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
I20220813000540 OK Practitioner - Optometry 1557744208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Success Vision Express of Tulsa, LLCGroup PAC ID 4587713235, 6 clinicians

Practice addresses (Care Compare)

7472 E Admiral PL
Tulsa, OK 74115-7913
Phone (918) 836-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Success Vision Express of Tulsa, LLC Optometrist CurrentSince Jul 18, 2022 Accepting new patients
Success Vision Express of Sand Springs, LLC Optometrist CurrentSince Jul 18, 2022 Accepting new patients
Dr. Samuel Presley & Associates, Inc. Optometrist PastSince Jul 18, 2022 Accepting new patients

Locations

230 S State Highway 97
#B
Sand Springs, OK 74063

230 S Highway 97
Ste B
Sand Springs, OK 74063
Phone (918) 241-2020

7472 E Admiral Pl
Tulsa, OK 74115
Phone (918) 834-2929

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1871229583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 W 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741076110",
            "telephone_number": "918-800-2020",
            "fax_number": "877-464-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 E ADMIRAL PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741157913",
            "telephone_number": "918-836-2020",
            "fax_number": "866-834-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S Highway 97 Ste B",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636571",
            "country_code": "US",
            "telephone_number": "918-241-2020",
            "fax_number": "877-682-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGFIELD",
        "first_name": "JARRETT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS IN OPTOMETRY STATE OF OKLAHOMA",
            "identifier": "3208",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.