TULSA VISION CLINIC, INC.
NPI 1164557625
Eyewear Supplier in Tulsa, OK
About Tulsa Vision Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TULSA VISION CLINIC, INC. (NPI 1164557625) is a healthcare organization registered as an eyewear supplier in Tulsa, Oklahoma and active in the NPI registry since February 2007. The organization lists John Brian Cheatham, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tulsa Vision Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tulsa Vision Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tulsa Vision Clinic, Inc.'s NPI number?
The NPI number for Tulsa Vision Clinic, Inc. is 1164557625. It was assigned to this organization in the NPPES registry on February 23, 2007.
Where is Tulsa Vision Clinic, Inc. located?
Tulsa Vision Clinic, Inc. is located at 4433 South Harvard Ave., Tulsa, OK 74135. The listed phone number is (918) 743-6334.
What is Tulsa Vision Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Tulsa Vision Clinic, Inc. enrolled in Medicare?
Yes. Tulsa Vision Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tulsa Vision Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Tulsa Vision Clinic, Inc.. 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.
When was this NPI record last updated?
The NPPES record for Tulsa Vision Clinic, Inc. was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tulsa Vision Clinic, Inc. · NPI 1164557625
Eyewear Supplier organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since February 23, 2007.
## Identity
- **NPI:** 1164557625 (Entity type: Organization)
- **Enumerated:** February 23, 2007
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** John Cheatham, OPTOMETRIST
## Practice location
- **Address:** 4433 SOUTH HARVARD AVE., Tulsa, OK 74135-2604
- **Phone:** (918) 743-6334 · **Fax:** (918) 743-6369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2008
- **Other identifiers:** Medicaid 200109710A (OK); Medicare NSC 5886450001 (OK); Medicare PIN 700522178 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1164557625) · Data from the CMS NPPES public registry.