Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ETHAN GRAHAM CHANDLER OD
NPI 1184553554
Optometrist in Okmulgee, OK

Active since May 14, 2026PECOS Enrolled
300 CREEK PL, OKMULGEE, OK 74447(918) 756-0316 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jul 21, 2026, May 14, 2026 (3 updates tracked since 2026).

About Dr. Ethan Graham Chandler Od NPPES

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

DR. ETHAN GRAHAM CHANDLER OD (NPI 1184553554) is an individual optometrist in Okmulgee, Oklahoma, licensed in Oklahoma (3336) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1184553554
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ETHAN GRAHAM CHANDLERCredential: OD
Location Address300 CREEK PLOkmulgee, OK 74447-6730
Mailing Address3505 W 112th St SJenks, OK 74037-2493 · (316) 650-9939
Sole ProprietorNo
Enumeration DateMay 14, 2026
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1184553554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 3336
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.
300 CREEK PL, Okmulgee, OK 74447

Secondary Practice Location 1

Location 110651 E 31st StTulsa, OK 74146-1602 · Phone (918) 437-6360

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Graham Chandler Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
300 CREEK PL
OKMULGEE, OK 74447
Optometrist
300 CREEK PL
OKMULGEE, OK 74447
Optometrist
300 CREEK PL
OKMULGEE, OK 74447
Optometrist
300 CREEK PL
OKMULGEE, OK 74447

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 Ethan Chandler's NPI number?

The NPI number for Ethan Chandler is 1184553554. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Ethan Chandler located?

Ethan Chandler practices at 300 Creek Pl, Okmulgee, OK 74447. The listed phone number is (918) 756-0316.

What is Ethan Chandler's specialty?

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

Is Ethan Chandler enrolled in Medicare?

Yes. Ethan Chandler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Chandler was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.