Med Southwest, PLLC
NPI 1174089478 · Optometrist · Broken Bow, OK
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Med Southwest, PLLC is a Optometrist organization in Broken Bow, OK (NPI 1174089478).
Provider details
- NPI number
- 1174089478
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Sue Downs, Secretary(703) 847-8899
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
7 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
- Myeyedr.
Registry dates
- Enumerated
- 2019-02-12
- Last updated
- 2022-05-29
- Certified
- 2022-05-29
Frequently asked questions
- What is Med Southwest, PLLC's NPI number?
- Med Southwest, PLLC's National Provider Identifier (NPI) is 1174089478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Med Southwest, PLLC?
- Med Southwest, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Med Southwest, PLLC located?
- Med Southwest, PLLC's practice location on file with NPPES is 511 S Park Dr Ste a, Broken Bow, OK 74728-5329.
- What is Med Southwest, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Med Southwest, PLLC is (580) 584-3434.
- Does Med Southwest, PLLC accept Medicare?
- Med Southwest, 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 Med Southwest, PLLC?
- The authorized official listed on Med Southwest, PLLC's NPPES record is Sue Downs, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Med Southwest, PLLC's NPI active?
- Yes — Med Southwest, PLLC's NPI (1174089478) is active in the NPPES registry as of the last update on 2022-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.