HENRYETTA EYE CENTER
NPI 1174727622
Optometrist in Henryetta, OK
About Henryetta Eye Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRYETTA EYE CENTER (NPI 1174727622) is a healthcare organization registered as an optometrist in Henryetta, Oklahoma and active in the NPI registry since June 2007. The organization lists Hayden Black, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Henryetta Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by March 31, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Henryetta Eye Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Apo, AP 96543
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
Medicare supplier enrollment and the product categories Henryetta Eye Center carries, from the Medicare DMEPOS supplier directory.
Henryetta Eye Center
DMEPOS supplier · Henryetta, OKDoes not accept Medicare assignment
Henryetta Eye Center has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
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 Henryetta Eye Center's NPI number?
The NPI number for Henryetta Eye Center is 1174727622. It was assigned to this organization in the NPPES registry on June 11, 2007.
Where is Henryetta Eye Center located?
Henryetta Eye Center is located at 900 W Main St, Henryetta, OK 74437. The listed phone number is (918) 652-2345.
What is Henryetta Eye Center's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Henryetta Eye Center enrolled in Medicare?
Yes. Henryetta Eye Center is registered in the Medicare PECOS enrollment system.
When is Henryetta Eye Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Henryetta Eye Center holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by March 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice). 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 Henryetta Eye Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Henryetta Eye Center. 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Henryetta Eye Center accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Henryetta Eye Center does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
What insurance does Henryetta Eye Center 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 8 other insurers list Henryetta Eye Center 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 Henryetta Eye Center was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.
# Henryetta Eye Center · NPI 1174727622
Optometrist organization in Henryetta, Oklahoma. Organization record, active in the CMS NPPES registry since June 11, 2007.
## Identity
- **NPI:** 1174727622 (Entity type: Organization)
- **Enumerated:** June 11, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Hayden Black, OWNER
## Practice location
- **Address:** 900 W MAIN ST, Henryetta, OK 74437-4252
- **Phone:** (918) 652-2345 · **Fax:** (918) 652-2537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
- **Other identifiers:** Medicaid 200132620A (OK); Other DN5710 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1174727622) · Data from the CMS NPPES public registry.