Individual provider Active NPI

Tammy Marie Scheff-Paul, O.D.

  • Optometrist
  • Jenks, OK
National Provider Identifier
1881756229
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK2205 Issued in OK
Practice address
317 E Aquarium PL
Jenks, OK 74037-6811
Phone
(918) 296-4733
Fax
(918) 417-7661
NPI assigned
Dec 14, 2006
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK2205 OK Primary

Addresses

Primary practice location

317 E Aquarium PL
Jenks, OK 74037-6811

Mailing address

317 E Aquarium PL
Jenks, OK 74037-6811
Phone (918) 296-4733

Other identifiers 2

IdentifierTypeStateIssuer
200528520AMedicaidOK
200004890AMedicaidOK

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
I20080730000032 OK Practitioner - Optometry 4789758418 Receives reassigned benefits from 1 practitioner
Practice locations: Jenks, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2205OKMDRegistered Dietitian
OK2205OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Rock Eyecare PLLC Optometrist PastSince Aug 2, 2022 Accepting new patients
The Eye Institute Inc PastSince Apr 1, 2017 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1881756229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E AQUARIUM PL",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740376811",
            "telephone_number": "918-296-4733",
            "fax_number": "918-417-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E AQUARIUM PL",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740376811",
            "telephone_number": "918-296-4733",
            "fax_number": "918-417-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFF-PAUL",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200528520A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

Verify at the official NPI Registry.