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JOHN R DIVER O.D.
NPI 1336586122
Optometrist in Tulsa, OK

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
4606 E. 67TH ST, SUITE 400, BLDG. #7, TULSA, OK 74136(918) 949-9898(918) 728-8091 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John R Diver O.d. NPPES

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

JOHN R DIVER O.D. (NPI 1336586122) is an individual optometrist in Tulsa, Oklahoma, licensed in Oklahoma (2726) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2012).

NPPES Registry Identity

NPI1336586122
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN R DIVERCredential: O.D.
Location Address4606 E. 67TH ST, SUITE 400, BLDG. #7Tulsa, OK 74136
Mailing Address4606 E. 67th St, Suite 400, Bldg. #7Tulsa, OK 74136 · (918) 949-9898 · Fax (918) 728-8091
Phone(918) 949-9898
Fax(918) 728-8091
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2012
Enumeration DateJune 3, 2013
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1336586122 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 · 2726
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.
4606 E. 67TH ST, Tulsa, OK 74136
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Other Identifiers 1

Medicaid200498350AOK

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John R Diver O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810124864
PECOS Enrollment IDI20131218001077
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services37 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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.

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 John Diver's NPI number?

The NPI number for John Diver is 1336586122. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is John Diver located?

John Diver practices at 4606 E. 67th St Suite 400, Bldg. #7, Tulsa, OK 74136. The listed phone number is (918) 949-9898.

What is John Diver's specialty?

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

Is John Diver enrolled in Medicare?

Yes. John Diver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Diver accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list John Diver 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 John Diver was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.