Individual provider Active NPI

Catherine F Carlin, O.D.

  • Optometrist
  • Bethany, OK
National Provider Identifier
1902804172
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2093 Issued in OK
Practice address
6303 NW 23Rd St
Bethany, OK 73008-5931
Phone
(405) 782-0300
Fax
(405) 782-0302
NPI assigned
Jul 12, 2005
Last updated
Mar 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2093 OK Primary

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 2

IdentifierTypeStateIssuer
245621501OtherOKAFFORDABLE PRICE VISION CTR., INC. MEDICARE
100762240AMedicaidOK

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
I20060718000080 OK Practitioner - Optometry 7719990670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy Eyecare LLCGroup PAC ID 1557511367, 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Eyecare LLC Optometrist CurrentSince Sep 24, 2024 Accepting new patients
Affordable Price Vision Ctr Inc Optometrist CurrentSince Feb 1, 2006 Accepting new patients
Eye Caan PLLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Kennedy Eyecare LLC Optometrist CurrentSince Sep 24, 2024 Accepting new patients
Kennedy Eyecare LLC Optometrist Current Accepting new patients
McRay Eyecare PLLC Optometrist PastSince Feb 1, 2006 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

Organizations & group practices 7

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1902804172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-782-0300",
            "fax_number": "405-782-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-782-0300",
            "fax_number": "405-782-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "CATHERINE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFORDABLE PRICE VISION CTR., INC. MEDICARE",
            "identifier": "245621501",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.