Individual provider Active NPI

Deryn Norman, OD

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1902727878
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3362 Issued in OK
Practice address
1201 Kiowa St Ste a
Ardmore, OK 73401-2246
Phone
(580) 223-8585
Fax
(580) 223-8588
NPI assigned
Jul 24, 2026
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3362 OK Primary

Addresses

Primary practice location

1201 Kiowa St Ste a
Ardmore, OK 73401-2246

Mailing address

1201 Kiowa St Ste a
Ardmore, OK 73401-2246
Phone (580) 223-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Eye Care Associates Company Optometrist CurrentSince Aug 4, 2026 Accepting new patients
RLP Eyecare PC Optometrist PastSince Aug 4, 2026 Accepting new patients

Locations

1201 Kiowa St
#A
Ardmore, OK 73401
Phone (580) 223-8585

Organizations & group practices 2

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": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1902727878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012246",
            "telephone_number": "580-223-8585",
            "fax_number": "580-223-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012246",
            "telephone_number": "580-223-8585",
            "fax_number": "580-223-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DERYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.