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VISION SOURCE-OKC SOUTH PLLC
NPI 1629156617
Optometrist in Oklahoma City, OK

Active since November 01, 2006
10101 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73159(405) 691-3319(405) 691-1377 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vision Source-okc South Pllc NPPES

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

VISION SOURCE-OKC SOUTH PLLC (NPI 1629156617) is a healthcare organization registered as an optometrist in Oklahoma City, Oklahoma and active in the NPI registry since November 2006. The organization lists Lori Mckinney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629156617
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION SOURCE-OKC SOUTH PLLC
Location Address10101 S PENNSYLVANIA AVE STE AOklahoma City, OK 73159-6929
Mailing Address10101 S Pennsylvania Ave Ste AOklahoma City, OK 73159-6929 · (405) 691-3319 · Fax (405) 691-1377
Phone(405) 691-3319
Fax(405) 691-1377
Organization SubpartNo
Authorized OfficialLori MckinneyAdministrator · (405) 691-3319
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1629156617 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 · OK950
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.
10101 S PENNSYLVANIA AVE STE A, Oklahoma City, OK 73159
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Other Identifiers 2

Medicaid100760060AOK
Other1629156617OK · Bcbs Ok Federal

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 Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Vision Source Okc South carries, from the Medicare DMEPOS supplier directory.

Vision Source Okc South

DMEPOS supplier · Oklahoma City, OKOperated by Vision Source-Okc South PLLC
✔

Accepts Medicare assignment

Vision Source Okc South agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20659853
Medicare Participant SinceJanuary 1, 1998
Supplier Location10101S Pennsylvania Ave Ste AOklahoma City, OK 73159
Phone(405) 691-3319
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNAH JOY CARO OD
Optometrist
10101 S PENNSYLVANIA AVE STE A
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 691-3319

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 Vision Source-Okc South PLLC's NPI number?

The NPI number for Vision Source-Okc South PLLC is 1629156617. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Vision Source-Okc South PLLC located?

Vision Source-Okc South PLLC is located at 10101 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159. The listed phone number is (405) 691-3319.

What is Vision Source-Okc South PLLC's specialty?

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

Does Vision Source-Okc South PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vision Source Okc South accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Vision Source-Okc South PLLC 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 1 other insurer list Vision Source-Okc South 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 Vision Source-Okc South PLLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.