Visionary Realm Optometry PLLC
NPI 1205633633 · Optometrist · Midwest City, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Visionary Realm Optometry PLLC is a Optometrist organization in Midwest City, OK (NPI 1205633633).
Provider details
- NPI number
- 1205633633
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Alichia Cox, Optometrist(405) 458-9393
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
- Pediatric Optometrist152WP0200X
Eye and Vision Services Providers
- Sports Vision Optometrist152WS0006X
Eye and Vision Services Providers
- Vision Therapy Optometrist152WV0400X
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
1 yr 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
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Visionary Realm Optometry PLLC's NPI number?
- Visionary Realm Optometry PLLC's National Provider Identifier (NPI) is 1205633633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Visionary Realm Optometry PLLC?
- Visionary Realm Optometry PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Visionary Realm Optometry PLLC located?
- Visionary Realm Optometry PLLC's practice location on file with NPPES is 1620 Midtown Pl, Midwest City, OK 73130-6347.
- What is Visionary Realm Optometry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Visionary Realm Optometry PLLC is (405) 458-9393.
- Does Visionary Realm Optometry PLLC accept Medicare?
- Visionary Realm Optometry 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 Visionary Realm Optometry PLLC?
- The authorized official listed on Visionary Realm Optometry PLLC's NPPES record is Alichia Cox, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Visionary Realm Optometry PLLC's NPI active?
- Yes — Visionary Realm Optometry PLLC's NPI (1205633633) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.