Individual provider Active NPI

Basil Mathews, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Edmond, OK
National Provider Identifier
1952891087
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
33779 Issued in OK
Practice address
1008 NW 139TH Street Pkwy
Edmond, OK 73013-9791
Phone
(888) 323-3937
NPI assigned
May 15, 2018
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 33779 OK Primary

Addresses

Primary practice location

1008 NW 139TH Street Pkwy
Edmond, OK 73013-9791

Mailing address

1008 NW 139TH Street Pkwy
Edmond, OK 73013-9791
Phone (888) 323-3937

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908003689 OK Practitioner - Ophthalmology 4486908159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Britton Vision Associates IncGroup PAC ID 4688659519, 12 clinicians

Practice addresses (Care Compare)

14701 N Santa Fe Ave
Edmond, OK 73013-3411
Phone (405) 752-2733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33779OKMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Britton Vision Associates Inc Ophthalmology CurrentSince Aug 21, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1008 NW 139th Street Pkwy
Edmond, OK 73013
Phone (405) 607-6699

14701 N Santa Fe Ave
Edmond, OK 73013
Phone (405) 752-2733

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

Interoperability endpoints

  • Direct secure messaging: bmathews@bva.intellechartdirect.net
  • Direct secure messaging: bmathews435929@direct.medicine.duke.edu

Organizations & group practices 2

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1952891087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 NW 139TH STREET PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139791",
            "telephone_number": "888-323-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 NW 139TH STREET PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139791",
            "telephone_number": "888-323-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "BASIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "OK",
            "license": "33779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.