Active NPI
Anna Evthokia Venizelos
- Optometrist
- Tahlequah, OK
National Provider Identifier
1992446819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3206
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 95.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3206 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDaniels PLLC | Optometrist | Current | Accepting new patients |
| Eyecare of Claremore-Claremore | Optometrist | Current | 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
- 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.
-
- Optometrist
- Claremore, OK
- NPI 1083654842
-
- Optometrist
- Tulsa, OK
- NPI 1336540723
-
- Ambulatory Surgical Clinic/Center
- Muskogee, OK
- NPI 1043216617
-
- Ambulatory Surgical Clinic/Center
- Bartlesville, OK
- NPI 1205439650
-
- Ambulatory Surgical Clinic/Center
- Tulsa, OK
- NPI 1508862160
-
- Ambulatory Surgical Clinic/Center
- Grove, OK
- NPI 1083030597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.