MARK B. PRIVOTT, O.D., INC
NPI 1225257249
Optometrist in Bethany, OK

Q: What is Mark B. Privott, O.D., Inc's NPI number?

The NPI number for Mark B. Privott, O.D., Inc is 1225257249. It was assigned to this organization in the NPPES registry on April 25, 2007.

Q: What is Mark B. Privott, O.D., Inc's specialty?

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

Active since April 25, 2007

4107 N COUNCIL RD BLDG H, BETHANY, OK 73008(405) 495-5170(405) 787-0123 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 28, 2025, May 12, 2025 (2 updates tracked since 2025).

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About Mark B. Privott, O.d., Inc NPPES

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

MARK B. PRIVOTT, O.D., INC (NPI 1225257249) is a healthcare organization registered as an optometrist in Bethany, Oklahoma and active in the NPI registry since April 2007. The organization lists Mark B Privott, Owner, as its authorized official.

NPPES Registry Identity

NPI1225257249

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMARK B. PRIVOTT, O.D., INC

Location Address4107 N COUNCIL RD BLDG HBethany, OK 73008-3131

Mailing Address4107 N Council Rd Bldg HBethany, OK 73008-3131 · (405) 495-5170 · Fax (405) 787-0123

Phone(405) 495-5170

Fax(405) 787-0123

Organization SubpartNo

Authorized OfficialMark B PrivottOwner · (405) 495-5170

Enumeration DateApril 25, 2007

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1225257249 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 · 1113

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.

4107 N COUNCIL RD BLDG H, Bethany, OK 73008

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark B. Privott, O.d., Inc 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 IDO20101123000282Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark B. Privott, O.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Privott, O. D.

Optometry

NPI 1164416343

4205 MCAULEY BLVD
Oklahoma City, OK 73120

(405) 755-6111

✔ PECOS✔ Accepts Medicare7.2 mi

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 Mark B. Privott, O.D., Inc's NPI number?

The NPI number for Mark B. Privott, O.D., Inc is 1225257249. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Mark B. Privott, O.D., Inc located?

Mark B. Privott, O.D., Inc is located at 4107 N Council Rd Bldg H, Bethany, OK 73008. The listed phone number is (405) 495-5170.

What is Mark B. Privott, O.D., Inc's specialty?

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

Is Mark B. Privott, O.D., Inc enrolled in Medicare?

Yes. Mark B. Privott, O.D., Inc is registered in the Medicare PECOS enrollment system.

When is Mark B. Privott, O.D., Inc'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 Mark B. Privott, O.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mark B. Privott, O.D., 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.

What insurance does Mark B. Privott, O.D., Inc 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 2 other insurers list Mark B. Privott, O.D., Inc 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 Mark B. Privott, O.D., Inc was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.