Active NPI
Kaylee Bobbitt
- Optometrist
- Tulsa, OK
National Provider Identifier
1972295400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3214
- Practice address
- 5910 S Lewis Ave
Tulsa, OK 74105-7112 - Phone
- (918) 745-9700
- Fax
- (918) 743-8102
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3214 | OK | Primary |
Addresses
Primary practice location
5910 S Lewis Ave
Tulsa, OK 74105-7112
Mailing address
5910 S Lewis Ave
Tulsa, OK 74105-7112
Phone (918) 745-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone (520) 797-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002721 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H McDougall OD Arizona PC | Optometrist | Current | Accepting new patients |
| Andrea B Dudley OD, Inc PC | Optometrist | Past | Accepting new patients |
| Kolker Vision Care | Optometrist | Past | Accepting new patients |
Locations
13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102
6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000
111 E 4th St
Ste 440
Alton, IL 62002
Organizations & group practices 4
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.
-
- Optometrist
- Fountain Hills, AZ
- NPI 1851882179
-
- Optometrist
- Tulsa, OK
- NPI 1235267394
-
- Optometrist
- Owasso, OK
- NPI 1861443772
-
- Optometrist
- Tulsa, OK
- NPI 1700911542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1972295400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741057112",
"telephone_number": "918-745-9700",
"fax_number": "918-743-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741057112",
"telephone_number": "918-745-9700",
"fax_number": "918-743-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBBITT",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.