BROADWAY VISION ASSOCIATES, PLC
NPI 1154441848
Optometrist in Muskogee, OK

Active since March 29, 2007
435 W BROADWAY ST, MUSKOGEE, OK 74401(918) 687-4459(918) 687-0238 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Broadway Vision Associates, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY VISION ASSOCIATES, PLC (NPI 1154441848) is a healthcare organization registered as an optometrist in Muskogee, Oklahoma and active in the NPI registry since March 2007. The organization lists Candace Y. Stewart, Od Owner, as its authorized official.

NPPES Registry Identity

NPI1154441848
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBROADWAY VISION ASSOCIATES, PLC
Location Address435 W BROADWAY STMuskogee, OK 74401-6614
Mailing Address435 W Broadway StMuskogee, OK 74401-6614 · (918) 687-4459 · Fax (918) 687-0238
Fax(918) 687-0238
Organization SubpartNo
Authorized OfficialCandace Y. StewartOd Owner · (918) 687-4459
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1154441848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedEyewear SupplierTaxonomy 332H00000X
435 W BROADWAY ST, Muskogee, OK 74401

Other Identifiers 3

Medicaid100739020AOK
Medicare PIN300522029OK
Medicare NSC6260680001OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadway Vision Associates, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20080512000323Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Broadway Vision Associates, Plc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1588633697
435 W BROADWAY
Muskogee, OK 74401
(918) 687-4459
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1992773345
435 W BROADWAY ST
Muskogee, OK 74401
(918) 687-4459
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Broadway Vision Associates Plc carries, from the Medicare DMEPOS supplier directory.

Broadway Vision Associates Plc

DMEPOS supplier · Muskogee, OK
✔

Accepts Medicare assignment

Broadway Vision Associates Plc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20560241
Medicare Participant SinceJanuary 1, 2008
Supplier Location435 W BroadwayMuskogee, OK 74401
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Vision Associates, Plc's NPI number?

The NPI number for Broadway Vision Associates, Plc is 1154441848. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Broadway Vision Associates, Plc located?

Broadway Vision Associates, Plc is located at 435 W Broadway St, Muskogee, OK 74401. The listed phone number is (918) 687-4459.

What is Broadway Vision Associates, Plc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Broadway Vision Associates, Plc enrolled in Medicare?

Yes. Broadway Vision Associates, Plc is registered in the Medicare PECOS enrollment system.

When is Broadway Vision Associates, Plc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Broadway Vision Associates, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Broadway Vision Associates, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Broadway Vision Associates, Plc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Broadway Vision Associates Plc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Broadway Vision Associates, Plc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Broadway Vision Associates, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Vision Associates, Plc was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.