AUBRY TACKETT
NPI 1871289173
Optometrist in Tahlequah, OK

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 444-4000 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Aubry Tackett NPPES

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

AUBRY TACKETT (NPI 1871289173) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (3244) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871289173
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAUBRY TACKETT
Location Address1001 N GRAND AVETahlequah, OK 74464-7017
Mailing Address14947 N Tyler StTahlequah, OK 74464-1397 · (405) 595-7711
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 11, 2023
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1871289173 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 · 3244
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.
1001 N GRAND AVE, Tahlequah, OK 74464

Accepted 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

Aubry Tackett 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 ID5597129098
PECOS Enrollment IDI20230918001326, I20231016000062
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 2

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 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.
18 services15 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.
17 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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 20

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

Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist (Low Vision Rehabilitation)
1001 N GRAND AVE
TAHLEQUAH, OK 74464

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 Aubry Tackett's NPI number?

The NPI number for Aubry Tackett is 1871289173. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Aubry Tackett located?

Aubry Tackett practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 444-4000.

What is Aubry Tackett's specialty?

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

Is Aubry Tackett enrolled in Medicare?

Yes. Aubry Tackett 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 Aubry Tackett accept?

Health plans from Providence Health Plan list Aubry Tackett 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.

Is Aubry Tackett affiliated with any hospitals?

According to CMS data, Aubry Tackett is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Aubry Tackett was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.