PAYTON BERRY LOCK
NPI 1639973167
Optometrist in Edmond, OK

Active since April 03, 2025PECOS EnrolledAccepts Medicare Assignment
14701 N SANTA FE AVE, EDMOND, OK 73013(405) 752-2733 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, Apr 3, 2025 (2 updates tracked since 2025).

About Payton Berry Lock NPPES

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

PAYTON BERRY LOCK (NPI 1639973167) is an individual optometrist in Edmond, Oklahoma, licensed in Oklahoma (3307) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edmond, and is a graduate of Southern College Of Optometry (2025).

NPPES Registry Identity

NPI1639973167
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePAYTON BERRY LOCK
Location Address14701 N SANTA FE AVEEdmond, OK 73013-3411
Mailing Address1800 Renaissance BlvdEdmond, OK 73013-3023 · (405) 920-5222 · Fax (405) 920-5209
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2025
Enumeration DateApril 3, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1639973167 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 · 3307
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.
14701 N SANTA FE AVE, Edmond, OK 73013

Secondary Practice Location 1

Location 11800 Renaissance BlvdEdmond, OK 73013-3023 · Phone (405) 920-5222 · Fax (405) 920-5209

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Payton Berry Lock 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 ID7810465952
PECOS Enrollment IDI20260506002979
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Payton Lock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
14701 N SANTA FE AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 20 clinicians in this Medicare group
Glaucoma Specialist
1800 RENAISSANCE BLVD
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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.

Other Providers at the Same Location NPPES 10

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

Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013

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 Payton Lock's NPI number?

The NPI number for Payton Lock is 1639973167. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Payton Lock located?

Payton Lock practices at 14701 N Santa Fe Ave, Edmond, OK 73013. The listed phone number is (405) 752-2733.

What is Payton Lock's specialty?

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

Is Payton Lock enrolled in Medicare?

Yes. Payton Lock 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.

Which organizations bill Medicare for Payton Lock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payton Lock reassigns Medicare benefits to 2 organizations: Britton Vision Associates Inc (Edmond, OK) and Glaucoma Surgeons Of Oklahoma PLLC (Edmond, OK). Each 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 Payton Lock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payton Lock accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Payton Lock 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 Payton Lock was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.