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SOUTHERN OKLAHOMA EYE CENTER, LLC
NPI 1699818864
Optometrist in Wynnewood, OK

Active since February 15, 2007
212 S DEAN A MCGEE AVE, WYNNEWOOD, OK 73098(405) 665-5685(405) 665-5694 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Oklahoma Eye Center, Llc NPPES

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

SOUTHERN OKLAHOMA EYE CENTER, LLC (NPI 1699818864) is a healthcare organization registered as an optometrist in Wynnewood, Oklahoma and active in the NPI registry since February 2007. The organization lists Evan Lee Bragg, Sr Manager, as its authorized official.

NPPES Registry Identity

NPI1699818864
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHERN OKLAHOMA EYE CENTER, LLC
Location Address212 S DEAN A MCGEE AVEWynnewood, OK 73098-7810
Mailing Address212 S Dean A Mcgee Ave, Po Box 519Wynnewood, OK 73098-7810 · (405) 665-5685 · Fax (405) 665-5694
Phone(405) 665-5685
Fax(405) 665-5694
Organization SubpartNo
Authorized OfficialEvan Lee BraggSr Manager · (405) 665-5685
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMay 1, 2013
✔ NPI 1699818864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
212 S DEAN A MCGEE AVE, Wynnewood, OK 73098
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Other Identifiers 1

Medicare NSC0418650002OK

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Southern Oklahoma Eye Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Oklahoma Eye Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Evan Lee Bragg, O.D.
Optometry
NPI 1811058589
1010 WEST 3RD ST
Sulphur, OK 73086
(580) 622-2020
✔ PECOS✔ Accepts Medicare15 mi

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 Southern Oklahoma Eye Center, LLC's NPI number?

The NPI number for Southern Oklahoma Eye Center, LLC is 1699818864. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Southern Oklahoma Eye Center, LLC located?

Southern Oklahoma Eye Center, LLC is located at 212 S Dean A Mcgee Ave, Wynnewood, OK 73098. The listed phone number is (405) 665-5685.

What is Southern Oklahoma Eye Center, LLC's specialty?

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

Is Southern Oklahoma Eye Center, LLC enrolled in Medicare?

Yes. Southern Oklahoma Eye Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Oklahoma Eye Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Southern Oklahoma Eye Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Oklahoma Eye Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Southern Oklahoma Eye Center, LLC 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 Southern Oklahoma Eye Center, LLC was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.