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DR. ALISSA PROCTOR OD
NPI 1972523751
Optometrist in Tahlequah, OK

Active since July 21, 2006PECOS Enrolled
1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 458-2109(918) 458-2310 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Alissa Proctor Od NPPES

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

DR. ALISSA PROCTOR OD (NPI 1972523751) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (2465) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972523751
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALISSA PROCTORCredential: OD
Location Address1001 N GRAND AVETahlequah, OK 74464-7017
Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 456-5511
Phone(918) 458-2109
Fax(918) 458-2310
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1972523751 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 · 2465
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
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Other Identifiers 3

Medicare UPINV06919
Medicare PIN248529508OK
Medicaid200066130AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alissa Proctor Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. MICHELE BITHER-MARSHALL OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. RODNEY BENDURE OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. MEGAN J CHEE O.D.
Optometrist
1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4031
DR. LATRICIA PACK OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. LAURA LAI MING CHAN OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4000
HANNAH MUNYAN SIKES OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4007
DR. RIYAD KHAMIS O.D
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 822-1299
MR. CEDRICK MAH OD
Optometrist (Low Vision Rehabilitation)
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4000

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 Alissa Proctor's NPI number?

The NPI number for Alissa Proctor is 1972523751. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Alissa Proctor located?

Alissa Proctor practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-2109.

What is Alissa Proctor's specialty?

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

Is Alissa Proctor enrolled in Medicare?

Yes. Alissa Proctor is registered in the Medicare PECOS enrollment system.

What insurance does Alissa Proctor accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Providence Health Plan list Alissa Proctor 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 Alissa Proctor was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.