MR. OLIN W FENTON (OD) – Optometrist, NPI 1164416574

MR. OLIN W FENTON (OD) is a healthcare provider. based in Talihina, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 6474TG (TX). The NPI Number for MR. OLIN W FENTON (OD) is 1164416574

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. OLIN W FENTON (OD)
NPI
1164416574
Phone
(918) 567-3424
Address
200 DALLAS ST
Enumeration Date
31 August 2005
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805662530
Graduation Year
2003 (23 years ago)
PAC ID
5395639702
Group Practice PAC ID
9537189261
Professional Enrollment ID
I20110104001156
Address ID
OK747272072BO415XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for MR. OLIN W FENTON (OD)

  • 200, Dallas Street, Talihina, Le Flore County, Oklahoma, 74571, United States

    TALIHINA, OK 745712402

    Phone: (918) 567-3424

    Fax: (918) 567-3420

    Mailing address matches the actual address.

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: 2011-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040209000345IOptometryTXTBD
I20110104001156IOptometryOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes292158$0
92250Photography of the retina271248$0
99214Established patient office or other outpatient visit, 30-39 minutes175174$0
92083Exam of visual field with extended testing2525$0
92014Established patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 74571)

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Provider's Procedures

MR. OLIN W FENTON (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOK92012Eye and medical examination for diagnosis and treatment, established patient1211

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: 9537189261View full group profile
NameSpecialtyState
Nurse PractitionerOK
Clinical Social WorkerOK
O P T O M E T R YOK
Dermatology, Family PracticeOK
-OK
Nurse PractitionerOK
C H I R O P R A C T I COK
-OK
Family PracticeOK
Marriage And Family TherapistOK

Reviews

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Frequently asked questions

What identifier follows MR. OLIN W FENTON (OD) across health systems?
The NPI 1164416574 uniquely identifies MR. OLIN W FENTON (OD) in U.S. healthcare data.
Should I treat MR. OLIN W FENTON (OD) as an active provider?
Patients and plans typically see MR. OLIN W FENTON (OD) as active in the national extract.
What does the directory say MR. OLIN W FENTON (OD) does?
Insurance directories may phrase it differently, but here MR. OLIN W FENTON (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. OLIN W FENTON (OD)?
MR. OLIN W FENTON (OD) shows a connection to Talihina, Oklahoma in registry-derived data.
Who maintains MR. OLIN W FENTON (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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