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OWASSO EYE INSTITUTE INC
NPI 1972639722
Optometrist in Owasso, OK

Active since February 26, 2007
12455 E 100TH ST N, SUITE 110, OWASSO, OK 74055(918) 274-7100(918) 274-7128 Get Directions Write a Review

NPPES record last updated: November 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Owasso Eye Institute Inc NPPES

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

OWASSO EYE INSTITUTE INC (NPI 1972639722) is a healthcare organization registered as an optometrist in Owasso, Oklahoma and active in the NPI registry since February 2007. The organization lists Tina Hull, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972639722
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOWASSO EYE INSTITUTE INC
Location Address12455 E 100TH ST N, SUITE 110Owasso, OK 74055-4600
Mailing Address12455 E 100th St N, Suite 110Owasso, OK 74055-4600 · (918) 274-7100 · Fax (918) 274-7128
Phone(918) 274-7100
Fax(918) 274-7128
Organization SubpartNo
Authorized OfficialTina HullAdministrator · (918) 747-3937
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 21, 2008
✔ NPI 1972639722 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 · 2300
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.
12455 E 100TH ST N, Owasso, OK 74055
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Other Identifiers 1

Medicare NSC6129620001OK

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)

Owasso Eye Institute Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Owasso Eye Institute Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chad Edwards, O.D.
Optometry
NPI 1063436079
12455 E 100TH ST N # 110
Owasso, OK 74055
(918) 274-7100
✔ PECOS✔ Accepts MedicareSame address
Kyle Bennett
Optometry
NPI 1679703607
12455 E 100TH ST N SUITE 110
Owasso, OK 74055
(918) 274-7100
✔ PECOS✔ Accepts MedicareSame address
Vanessa Bennett, O.D.
Optometry
NPI 1093157562
2000 S WHEELING AVE STE 1010
Tulsa, OK 74104
(918) 747-3937
✔ PECOS✔ Accepts Medicare14 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 Owasso Eye Institute Inc's NPI number?

The NPI number for Owasso Eye Institute Inc is 1972639722. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Owasso Eye Institute Inc located?

Owasso Eye Institute Inc is located at 12455 E 100th St N Suite 110, Owasso, OK 74055. The listed phone number is (918) 274-7100.

What is Owasso Eye Institute Inc's specialty?

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

Is Owasso Eye Institute Inc enrolled in Medicare?

Yes. Owasso Eye Institute Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Owasso Eye Institute Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Owasso Eye Institute Inc. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Owasso Eye Institute Inc 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 Owasso Eye Institute Inc 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 Owasso Eye Institute Inc was last updated on November 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.