IndividualActiveAccepts Medicare
Nathanael Patron, OD
NPI 1548065089 · Optometrist · Tahlequah, OK
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1548065089
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 3311 (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(55/100 index)
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
870 East Crafton St
Tahlequah, OK 74464-7017
Phone: (918) 444-4000
Street-level locationGet directions
Mailing address
Po Box 1852
Tahlequah, OK 74465-1852
Registry dates
- Enumerated
- 2025-02-18
- Last updated
- 2025-08-05
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.