Active NPI
Shelly Deann Rice, O.D.
- Optometrist
- Wagoner, OK
National Provider Identifier
1881602407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2284
- Practice address
- 512 E Cherokee St
Wagoner, OK 74467-4710 - Phone
- (918) 485-4775
- Fax
- (918) 485-7611
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2284 | OK | Primary |
Addresses
Primary practice location
512 E Cherokee St
Wagoner, OK 74467-4710
Mailing address
512 E Cherokee St
Wagoner, OK 74467-4710
Phone (918) 485-4775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100761650B | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
512 E Cherokee St
Rice Family Eye Care
Wagoner, OK 74467-4710
Phone (918) 485-4775
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2284 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelly Rice OD PC Inc | Optometrist | Current | Accepting new patients |
Locations
512 E Cherokee St
Wagoner, OK 74467
Phone (918) 485-4775
Organizations & group practices 1
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.
-
- Optometrist
- Wagoner, OK
- NPI 1932389145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1881602407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674710",
"telephone_number": "918-485-4775",
"fax_number": "918-485-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674710",
"telephone_number": "918-485-4775",
"fax_number": "918-485-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "SHELLY",
"middle_name": "DEANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100761650B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.