Individual provider Active NPI

Kelsey Rae Ybarra

  • Optometrist
  • Norman, OK
National Provider Identifier
1992267017
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3019 Issued in OK
Practice address
1220 E Robinson St
Norman, OK 73071-3602
Phone
(405) 857-1381
Fax
(405) 383-4655
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 9818TG TX
Optometrist 152W00000X 9818TG TX
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3019 OK Primary

Addresses

Primary practice location

1220 E Robinson St
Norman, OK 73071-3602

Mailing address

1220 E Robinson St
Norman, OK 73071-3602
Phone (405) 857-1381

Other names 1

  • Kelsey Rae Crawford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191011000062 TX Practitioner - Optometry 0345578654 Reassigns benefits to 1 organization
I20210125001897 OK Practitioner - Optometry 0345578654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blake Bush Family Eyecare Inc.Group PAC ID 4486810652, 2 clinicians

Practice addresses (Care Compare)

1220 E Robinson St
Norman, OK 73071-3602
Phone (405) 857-1381

9 E Main St
Ardmore, OK 73401-7008
Phone (580) 223-7333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3019OKMDSpeech-Language Pathologist
9818TGTXMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Vision, LLC Optometrist CurrentSince Oct 20, 2025 Accepting new patients
Blake Bush Family Eyecare Inc. Optometrist CurrentSince Oct 4, 2021 Accepting new patients

Locations

9 E Main St
Ardmore, OK 73401
Phone (580) 223-7333

1220 E Robinson St
Norman, OK 73071
Phone (405) 360-3590

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1992267017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E ROBINSON ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730713602",
            "telephone_number": "405-857-1381",
            "fax_number": "405-383-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E ROBINSON ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730713602",
            "telephone_number": "405-857-1381",
            "fax_number": "405-383-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "KELSEY",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "9818TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9818TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "CRAWFORD",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.