Debra Jean Bezan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1040 Issued in OK

Practice address

8829 S Kingston Ave
Tulsa, OK 74137-3000

Phone

(918) 494-0166

Fax

(918) 494-0166

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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.

• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1942229943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 S KINGSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373000",
            "telephone_number": "918-494-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8829 S KINGSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373000",
            "telephone_number": "918-494-0166",
            "fax_number": "918-494-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZAN",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - DMERC",
            "identifier": "1174230001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Bevins, SLP
• Micah J Bevins, DDS
• Bewley Chiropractic of Tulsa Inc
• Rick Alan Bewley, DC
• Beyond PT South PLLC (Beyond Physical Therapy)
• Kenneth Thomas Bezan, DMD
• Tracy Lynn Bezner, MD
• BGD NM LLC
• Satish Bhadriraju, MD
• Ashesh Bhakta, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.