Active NPI
Janet Poole Naguib, OD
- Optometrist
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1199
- Practice address
- 4008 S Elm PL Ste a
Broken Arrow, OK 74011-2021 - Phone
- (918) 455-2020
- NPI assigned
- Mar 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4202 | TX | |
| Optometrist | 152W00000X | 1199 | OK | Primary |
Addresses
Primary practice location
4008 S Elm PL Ste a
Broken Arrow, OK 74011-2021
Mailing address
1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone (918) 444-4031
Other practice location 1
1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone (918) 444-4031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pec1@tulsacoxmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, 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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
900 N Owen Walters Blvd
Salina, OK 74365-5003
Phone (918) 444-4034
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1199 | OK | MD | Professional Counselor |
| 4202 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Northeastern State University College of Optometry | Optometrist | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| J D Hudkins O D Inc | Optometrist | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Locations
4008 S Elm Pl
Ste A
Broken Arrow, OK 74011
Phone (918) 455-2020
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Organizations & group practices 9
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
- Tahlequah, OK
- NPI 1437106333
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Ochelata, OK
- NPI 1871972430
-
- Optometrist
- Broken Arrow, OK
- NPI 1669509683
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1992330534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N GRAND AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744647017",
"telephone_number": "918-444-4031",
"fax_number": "918-458-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 S ELM PL STE A",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740112021",
"telephone_number": "918-455-2020"
}
],
"practiceLocations": [
{
"address_1": "1001 N Grand Ave",
"address_purpose": "LOCATION",
"city": "Tahlequah",
"state": "OK",
"postal_code": "744647017",
"country_code": "US",
"telephone_number": "918-444-4031",
"fax_number": "918-458-9603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGUIB",
"first_name": "JANET",
"middle_name": "POOLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4202",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1199",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pec1@tulsacoxmail.com",
"affiliation": "N",
"endpointDescription": "private practice Dr. Tracy Garden, OD",
"address_1": "4008 S Elm Pl Ste A",
"city": "Broken Arrow",
"state": "OK",
"country_code": "US",
"postal_code": "740112021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.