Individual provider Active NPI

Anna Evthokia Venizelos

  • Optometrist
  • Tahlequah, OK
National Provider Identifier
1992446819
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3206 Issued in OK
Practice address
1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone
(918) 230-4346
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3206 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1001 N Grand Ave
Tahlequah, OK 74464-7017

Mailing address

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525001645 OK Practitioner - Optometry 8022474576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare of Claremore-ClaremoreGroup PAC ID 1456364348, 5 clinicians

Practice addresses (Care Compare)

221 S Florence Ave
Suite 150
Claremore, OK 74017-7263
Phone (918) 341-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
95.73
Promoting interoperability
100
Improvement activities
40
Cost
76.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3206OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McDaniels PLLC Optometrist CurrentSince Feb 19, 2026 Accepting new patients
Eyecare of Claremore-Claremore Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center, LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients

Locations

221 S Florence Ave
Ste 150
Claremore, OK 74017
Phone (918) 341-2020

203 S Adair St
Ste B
Pryor, OK 74361
Phone (918) 319-2030

3746 S Peoria Ave
Tulsa, OK 74105
Phone (918) 992-5337

Interoperability endpoints

  • Direct secure messaging: avenizelos@triadeye.intellechartdirect.net

Organizations & group practices 6

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1992446819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-252-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647017",
            "telephone_number": "918-230-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENIZELOS",
        "first_name": "ANNA",
        "middle_name": "EVTHOKIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3206",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.