GUYMON VISION CLINIC
NPI 1386857811
Optometrist in Guymon, OK
About Guymon Vision Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUYMON VISION CLINIC (NPI 1386857811) is a healthcare organization registered as an optometrist in Guymon, Oklahoma and active in the NPI registry since May 2007. The organization lists Mack Wray Johnson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Guymon Vision Clinic 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Guymon Vision Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2195978
Guymon Vision Clinic · Guymon, OKFrequently 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 Guymon Vision Clinic's NPI number?
The NPI number for Guymon Vision Clinic is 1386857811. It was assigned to this organization in the NPPES registry on May 8, 2007.
Where is Guymon Vision Clinic located?
Guymon Vision Clinic is located at 301 Northridge Cir, Guymon, OK 73942. The listed phone number is (580) 338-8437.
What is Guymon Vision Clinic's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Guymon Vision Clinic enrolled in Medicare?
Yes. Guymon Vision Clinic is registered in the Medicare PECOS enrollment system.
When is Guymon Vision Clinic'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 Guymon Vision Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Guymon Vision Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Guymon Vision Clinic was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Guymon Vision Clinic · NPI 1386857811
Optometrist organization in Guymon, Oklahoma. Organization record, active in the CMS NPPES registry since May 8, 2007.
## Identity
- **NPI:** 1386857811 (Entity type: Organization)
- **Enumerated:** May 8, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mack Johnson, PRESIDENT
## Practice location
- **Address:** 301 NORTHRIDGE CIR, Guymon, OK 73942-2735
- **Phone:** (580) 338-8437 · **Fax:** (580) 338-8361
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2008
- **Other identifiers:** Medicare OSCAR/certification 0313740001 (OK); Medicare UPIN 0313740001 (OK); Medicare NSC 0313740001 (OK); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386857811) · Data from the CMS NPPES public registry.