Active NPI
Stillwater Vision Clinic PLLC
- Optometrist
- Stillwater, OK
National Provider Identifier
1912124751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- STILLWATER VISION CLINIC PLLC
- Practice address
- 2123 W 6TH Ave
Stillwater, OK 74074-4136 - Phone
- (405) 372-3724
- Fax
- (405) 743-1042
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian R Gumm, O.D.
- Title
- President
- Phone
- (405) 372-3724
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2123 W 6TH Ave
Stillwater, OK 74074-4136
Mailing address
2123 W 6TH Ave
Stillwater, OK 74074-4136
Phone (405) 372-3724
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443721363001 | Other | OK | DAVID REYNOLDS,OD BCBS |
| 100768660B | Medicaid | OK | |
| 410033132 | Other | OK | BRIAN GUMM,O.D. RR MCARE |
| 448646516001 | Other | OK | BRIAN GUMM,OD BCBS |
| 100766180A | Medicaid | OK | |
| 410032462 | Other | OK | DAVID REYNOLDS,OD RRMCARE |
| 200005020A | Medicaid | OK | |
| 0210790001 | Other | OK | STILL VISION CL DMERC |
| 100766010A | Medicaid | OK | |
| 410019936 | Other | OK | JAMES STARK,O.D. RR MCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Stillwater Vision Clinic (286) | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2123 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-3724
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Stillwater, OK
- NPI 1649211301
-
- Optometrist
- Stillwater, OK
- NPI 1629416789
-
- Optometrist
- Stillwater, OK
- NPI 1285675942
-
- Optometrist
- Stillwater, OK
- NPI 1891731816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1912124751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744136",
"telephone_number": "405-372-3724",
"fax_number": "405-743-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744136",
"telephone_number": "405-372-3724",
"fax_number": "405-743-1042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILLWATER VISION CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "GUMM",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-372-3724",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVID REYNOLDS,OD BCBS",
"identifier": "443721363001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100768660B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRIAN GUMM,O.D. RR MCARE",
"identifier": "410033132",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRIAN GUMM,OD BCBS",
"identifier": "448646516001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100766180A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVID REYNOLDS,OD RRMCARE",
"identifier": "410032462",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200005020A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STILL VISION CL DMERC",
"identifier": "0210790001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100766010A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JAMES STARK,O.D. RR MCARE",
"identifier": "410019936",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.