AUSTIN B BYRUM (OD) – Optometrist, NPI 1104303908

AUSTIN B BYRUM (OD) is a healthcare provider. based in Stigler, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2966 (OK). The NPI Number for AUSTIN B BYRUM (OD) is 1104303908

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN B BYRUM (OD)
NPI
1104303908
Phone
(918) 967-3368
Address
PO BOX 179
Enumeration Date
24 July 2018
Last Update Date
24 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006409741
Graduation Year
2018 (8 years ago)
PAC ID
5698025120
Group Practice PAC ID
8022061373
Professional Enrollment ID
I20180905000128
Address ID
OK744622914ST1505XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for AUSTIN B BYRUM (OD)

  • PO BOX 179

    STIGLER, OK 744620179

    Phone: (918) 967-3368

    Fax: (918) 967-4582

    Type: Mailing

  • 1505, East Main Street, Stigler, Haskell County, Oklahoma, 74462, United States

    STIGLER, OK 744622913

    Phone: (918) 967-3368

    Fax: (918) 967-4582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180905000128IOptometryOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina2727$0
View full utilization report →

Insurance plans in this area (ZIP 74462)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022061373View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Nurse PractitionerOK
-OK
Nurse PractitionerOK
Nurse PractitionerOK
-OK
Clinical Social WorkerOK
-OK
Nurse PractitionerOK
Physician AssistantCA

Reviews

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Frequently asked questions

How is AUSTIN B BYRUM (OD) identified in CMS data?
CMS-hosted NPPES data lists AUSTIN B BYRUM (OD) with NPI 1104303908.
Does CMS list AUSTIN B BYRUM (OD) as active?
Yes — AUSTIN B BYRUM (OD) is active in the NPI listing used on this page.
What is AUSTIN B BYRUM (OD) best known for clinically?
Directory data describes AUSTIN B BYRUM (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect AUSTIN B BYRUM (OD) on a map?
Expect Stigler, Oklahoma as a primary anchor for AUSTIN B BYRUM (OD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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