STILLWATER VISION CLINIC PLLC
NPI 1912124751
Optometrist in Stillwater, OK
About Stillwater Vision Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STILLWATER VISION CLINIC PLLC (NPI 1912124751) is a healthcare organization registered as an optometrist in Stillwater, Oklahoma and active in the NPI registry since April 2007. The organization lists Brian R Gumm, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Group Practice 1
Accepted 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)
Stillwater Vision Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Stillwater Vision Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Stillwater Vision Clinic PLLC's NPI number?
The NPI number for Stillwater Vision Clinic PLLC is 1912124751. It was assigned to this organization in the NPPES registry on April 20, 2007.
Where is Stillwater Vision Clinic PLLC located?
Stillwater Vision Clinic PLLC is located at 2123 W 6th Ave, Stillwater, OK 74074. The listed phone number is (405) 372-3724.
What is Stillwater Vision Clinic PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Stillwater Vision Clinic PLLC enrolled in Medicare?
Yes. Stillwater Vision Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stillwater Vision Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Stillwater Vision Clinic PLLC. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stillwater Vision Clinic PLLC 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 Stillwater Vision Clinic 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 Stillwater Vision Clinic PLLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Stillwater Vision Clinic Pllc · NPI 1912124751
Optometrist organization in Stillwater, Oklahoma. Organization record, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1912124751 (Entity type: Organization)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Brian Gumm, PRESIDENT
## Practice location
- **Address:** 2123 W 6TH AVE, Stillwater, OK 74074-4136
- **Phone:** (405) 372-3724 · **Fax:** (405) 743-1042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2026
- **Other identifiers:** Other 443721363001 (OK); Medicaid 100768660B (OK); Other 410033132 (OK); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912124751) · Data from the CMS NPPES public registry.