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VISIONARY REALM OPTOMETRY PLLC
NPI 1205633633
Optometrist in Midwest City, OK

Active since February 25, 2025
1620 MIDTOWN PL, MIDWEST CITY, OK 73130(405) 458-9393(405) 610-0321 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Feb 25, 2025 (2 updates tracked since 2025).

About Visionary Realm Optometry Pllc NPPES

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

VISIONARY REALM OPTOMETRY PLLC (NPI 1205633633) is a healthcare organization registered as an optometrist in Midwest City, Oklahoma and active in the NPI registry since February 2025. The organization lists Alichia Cox, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1205633633
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISIONARY REALM OPTOMETRY PLLC
Location Address1620 MIDTOWN PLMidwest City, OK 73130-6347
Mailing Address1620 Midtown PlMidwest City, OK 73130-6347 · (405) 458-9393 · Fax (405) 610-0321
Phone(405) 458-9393
Fax(405) 610-0321
Organization SubpartNo
Authorized OfficialAlichia CoxOptometrist · (405) 458-9393
Enumeration DateFebruary 25, 2025
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1205633633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
1620 MIDTOWN PL, Midwest City, OK 73130
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Visionary Realm Optometry Pllc 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 Visionary Realm Optometry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alichia Cox, O.D.
Optometry
NPI 1174976591
1620 MIDTOWN PL
Midwest City, OK 73130
(405) 458-9393
✔ PECOS✔ Accepts MedicareSame address

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 Visionary Realm Optometry PLLC's NPI number?

The NPI number for Visionary Realm Optometry PLLC is 1205633633. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Visionary Realm Optometry PLLC located?

Visionary Realm Optometry PLLC is located at 1620 Midtown Pl, Midwest City, OK 73130. The listed phone number is (405) 458-9393.

What is Visionary Realm Optometry PLLC's specialty?

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

Is Visionary Realm Optometry PLLC enrolled in Medicare?

Yes. Visionary Realm Optometry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Visionary Realm Optometry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Visionary Realm Optometry PLLC. 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.

What insurance does Visionary Realm Optometry PLLC 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 4 other insurers list Visionary Realm Optometry PLLC 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 Visionary Realm Optometry PLLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.