Abbie Etter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3260 Issued in OK

Practice address

17 S Oak St
Sapulpa, OK 74066-4312

Phone

(918) 224-2610

NPI assigned

Jul 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackwell Vision Center IncGroup PAC ID 7113047374, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blackwell Vision Center Inc

  • Eyewear Supplier
  • Blackwell, OK
  • NPI 1447397682

  Optometrist

  Medicare reassignment Care Compare group NPD
• Mannford Vision Clinic, PLLC

  • Optometrist
  • Mannford, OK
  • NPI 1093992620
  NPD
• Blackwell Vision Center Inc

  • Optometrist
  • Sapulpa, OK
  • NPI 1275243883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1922836550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W DAVIS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S OAK ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664312",
            "telephone_number": "918-224-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Bill Phelps Blvd",
            "address_purpose": "LOCATION",
            "city": "Mannford",
            "state": "OK",
            "postal_code": "740443494",
            "country_code": "US",
            "telephone_number": "918-865-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTER",
        "first_name": "ABBIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "3260",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3260",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "3260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephenie Edwards
• Elite Care, Inc.
• Sarah Ellington
• Enescence Community Services and Support
• Joshua Englebright
• Abbigaile Evans, LMSW
• Joni Lee Evans
• Soter Eze
• F & T Pharmacies Inc
• Marsha Kay Fagin, LPN

• Optometrist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.