Catherine F Carlin, O.D.
Individual provider Active NPI Optometrist · Bethany, OK
NPI 1902804172 · NPPES record last updated Mar 21, 2013
Key facts
- NPI
- 1902804172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2093 (OK)
- Practice address
- 6303 NW 23Rd St
Bethany, OK 73008-5931 - Phone
- (405) 782-0300
- Fax
- (405) 782-0302
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kennedy Eyecare LLC
Practice addresses (Care Compare)
205 W Okmulgee Ave
Checotah, OK 74426-2408
Phone (918) 473-2308
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060718000080 | OK | Practitioner - Optometry | 7719990670 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2093 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Eyecare LLC | Optometrist | Current |
Accepting new patients |
| Kennedy Eyecare LLC | Optometrist | Current |
Accepting new patients |
| Kennedy Eyecare LLC | Optometrist | Current | Accepting new patients |
| Eye Caan PLLC | Optometrist | Current |
Accepting new patients |
| Affordable Price Vision Ctr Inc | Optometrist | Current |
Accepting new patients |
| McRay Eyecare PLLC | Optometrist | Past |
Accepting new patients |
Locations
6303 NW 23rd St
Bethany, OK 73008
Phone (405) 782-0300
205 W Okmulgee Ave
Checotah, OK 74426
Phone (918) 473-2308
1400 E Wade Watts Ave
McAlester, OK 74501
Phone (918) 421-8437
2700 SW 29th St
Oklahoma City, OK 73119
Phone (405) 632-9749
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2093 | OK | Yes |
Addresses
Primary practice location
6303 NW 23Rd St
Bethany, OK 73008-5931
Mailing address
6303 NW 23Rd St
Bethany, OK 73008-5931
Phone (405) 782-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100762240A | Medicaid | OK | |
| 245621501 | Other | OK | AFFORDABLE PRICE VISION CTR., INC. MEDICARE |
Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.