1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Optometrist
  6. NPI Profile

ANDREA B DUDLEY OD, INC PC
NPI 1235267394
Optometrist in Tulsa, OK

Active since March 01, 2007
5910 S LEWIS AVE, TULSA, OK 74105(918) 745-9700(918) 743-8102 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea B Dudley Od, Inc Pc NPPES

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

ANDREA B DUDLEY OD, INC PC (NPI 1235267394) is a healthcare organization registered as an optometrist in Tulsa, Oklahoma and active in the NPI registry since March 2007. The organization lists Andrea Bertalotto Dudley, President, as its authorized official.

NPPES Registry Identity

NPI1235267394
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameANDREA B DUDLEY OD, INC PC
Location Address5910 S LEWIS AVETulsa, OK 74105-7112
Mailing Address5910 S Lewis AveTulsa, OK 74105-7112 · (918) 745-9700 · Fax (918) 743-8102
Phone(918) 745-9700
Fax(918) 743-8102
Organization SubpartNo
Authorized OfficialAndrea Bertalotto DudleyPresident · (918) 745-9700
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2011
✔ NPI 1235267394 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 · 2215
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.
5910 S LEWIS AVE, Tulsa, OK 74105
Open in Google Maps ↗

Other Identifiers 1

Medicare PINOKAAA0515OK

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea B Dudley Od, Inc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Andrea B Dudley Od, Inc PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kaylee Bobbitt
Optometry
NPI 1972295400
5910 S LEWIS AVE
Tulsa, OK 74105
(918) 745-9700
✔ PECOS✔ Accepts MedicareSame address
Andrea Dudley, OD
Optometry
NPI 1568544773
5910 S LEWIS
Tulsa, OK 74105
(918) 745-9700
✔ 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 Andrea B Dudley Od, Inc PC's NPI number?

The NPI number for Andrea B Dudley Od, Inc PC is 1235267394. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Andrea B Dudley Od, Inc PC located?

Andrea B Dudley Od, Inc PC is located at 5910 S Lewis Ave, Tulsa, OK 74105. The listed phone number is (918) 745-9700.

What is Andrea B Dudley Od, Inc PC's specialty?

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

Is Andrea B Dudley Od, Inc PC enrolled in Medicare?

Yes. Andrea B Dudley Od, Inc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea B Dudley Od, Inc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Andrea B Dudley Od, Inc PC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Andrea B Dudley Od, Inc PC 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 Andrea B Dudley Od, Inc PC 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 Andrea B Dudley Od, Inc PC was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.