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DR. STEPHANIE P SOUVANNACHAK-COWICK OD
NPI 1962926253
Optometrist in Tulsa, OK

Active since July 28, 2017PECOS EnrolledAccepts Medicare Assignment
10920 S MEMORIAL DR, TULSA, OK 74133(918) 366-2020 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 28, 2017 (2 updates tracked since 2017).

About Dr. Stephanie P Souvannachak-cowick Od NPPES

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

DR. STEPHANIE P SOUVANNACHAK-COWICK OD (NPI 1962926253) is an individual optometrist in Tulsa, Oklahoma, licensed in Oklahoma (2954) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962926253
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHANIE P SOUVANNACHAK-COWICKCredential: OD
Location Address10920 S MEMORIAL DRTulsa, OK 74133-7352
Mailing Address113 E 125th Ct SJenks, OK 74037-1075 · (479) 871-7525
Phone(918) 366-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 28, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1962926253 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 · 2954
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.
10920 S MEMORIAL DR, Tulsa, OK 74133
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Secondary Practice Location 1

Location 17374 S Olympia AveTulsa, OK 74132-1849 · Phone (918) 794-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.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

Dr. Stephanie P Souvannachak-cowick Od 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 ID5496020596
PECOS Enrollment IDI20170928003112
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
423 services401 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
156 services155 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
126 services106 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
84 services84 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
84 services69 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
56 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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 2

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

DR. DERRICK SKAGGS AND ASSOCIATES PC
Optometrist
10920 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 369-7272
LETITIA ANJANETTE BRASSFIELD O.D.
Optometrist
10920 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 366-2020

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 Stephanie Souvannachak-cowick's NPI number?

The NPI number for Stephanie Souvannachak-cowick is 1962926253. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Stephanie Souvannachak-cowick located?

Stephanie Souvannachak-cowick practices at 10920 S Memorial Dr, Tulsa, OK 74133. The listed phone number is (918) 366-2020.

What is Stephanie Souvannachak-cowick's specialty?

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

Is Stephanie Souvannachak-cowick enrolled in Medicare?

Yes. Stephanie Souvannachak-cowick 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 Stephanie Souvannachak-cowick accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Stephanie Souvannachak-cowick 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 Stephanie Souvannachak-cowick was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.