Shawnee Eye Associates, PLLC
NPI 1104228105 · Optometrist · Shawnee, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawnee Eye Associates, PLLC is a Optometrist organization in Shawnee, OK (NPI 1104228105).
Provider details
- NPI number
- 1104228105
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Trevor Conklin, Owner/Partner(405) 275-7676
- License
- 2690 (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shawnee Vision Source
Registry dates
- Enumerated
- 2014-09-22
- Last updated
- 2014-09-22
Frequently asked questions
- What is Shawnee Eye Associates, PLLC's NPI number?
- Shawnee Eye Associates, PLLC's National Provider Identifier (NPI) is 1104228105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Eye Associates, PLLC?
- Shawnee Eye Associates, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Shawnee Eye Associates, PLLC located?
- Shawnee Eye Associates, PLLC's practice location on file with NPPES is 100 E 45th St, Shawnee, OK 74804-1439.
- What is Shawnee Eye Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Shawnee Eye Associates, PLLC is (405) 275-7676.
- Does Shawnee Eye Associates, PLLC accept Medicare?
- Shawnee Eye Associates, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shawnee Eye Associates, PLLC?
- The authorized official listed on Shawnee Eye Associates, PLLC's NPPES record is Trevor Conklin, Owner/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Eye Associates, PLLC's NPI active?
- Yes — Shawnee Eye Associates, PLLC's NPI (1104228105) is active in the NPPES registry as of the last update on 2014-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.