GUTHRIE VISION SOURCE PC, INC.
NPI 1982625703
Optometrist in Guthrie, OK
About Guthrie Vision Source Pc, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUTHRIE VISION SOURCE PC, INC. (NPI 1982625703) is a healthcare organization registered as an optometrist in Guthrie, Oklahoma and active in the NPI registry since July 2006. The organization lists Michael E. Bennett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guthrie Vision Source Pc, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Guthrie Vision Source PC, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Guthrie Vision Source PC, Inc.'s NPI number?
The NPI number for Guthrie Vision Source PC, Inc. is 1982625703. It was assigned to this organization in the NPPES registry on July 21, 2006.
Where is Guthrie Vision Source PC, Inc. located?
Guthrie Vision Source PC, Inc. is located at 110 E Harrison Ave, Guthrie, OK 73044. The listed phone number is (405) 282-4396.
What is Guthrie Vision Source PC, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Guthrie Vision Source PC, Inc. enrolled in Medicare?
Yes. Guthrie Vision Source PC, Inc. is registered in the Medicare PECOS enrollment system.
When is Guthrie Vision Source PC, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Guthrie Vision Source PC, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Guthrie Vision Source PC, 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Guthrie Vision Source PC, 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 and 1 other insurer list Guthrie Vision Source PC, 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 Guthrie Vision Source PC, Inc. was last updated on February 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.
# Guthrie Vision Source Pc, Inc. · NPI 1982625703
Optometrist organization in Guthrie, Oklahoma. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1982625703 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michael Bennett, PRESIDENT
## Practice location
- **Address:** 110 E HARRISON AVE, Guthrie, OK 73044-4839
- **Phone:** (405) 282-4396 · **Fax:** (405) 282-8298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2008
- **Other identifiers:** Other DC6377 (OK); Medicaid 100759960A (OK); Medicare PIN 400522401 (OK); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1982625703) · Data from the CMS NPPES public registry.