DR. REBECCA ANNE ENLOE (O.D.) – Optometrist, NPI 1578753216

DR. REBECCA ANNE ENLOE (O.D.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2523 (OK). The NPI Number for DR. REBECCA ANNE ENLOE (O.D.) is 1578753216

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA ANNE ENLOE (O.D.)
NPI
1578753216
Phone
(918) 456-5511
Address
1001 N GRAND AVE
Enumeration Date
30 July 2007
Last Update Date
30 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185421655
Graduation Year
2007 (19 years ago)
PAC ID
0446347959
Group Practice PAC ID
7911893854
Professional Enrollment ID
I20071213000425
Address ID
OK743541016MI7600X69AX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for DR. REBECCA ANNE ENLOE (O.D.)

  • 1001, North Grand Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744647017

    Phone: (918) 456-5511

    Fax: (918) 458-2310

    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: 2007-12-13

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
I20071213000425IOptometryTXTBD

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

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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
92134Imaging of retina2619$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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Provider's Procedures

DR. REBECCA ANNE ENLOE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOK92083Measurement of field of vision during daylight conditions1211

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: 7911893854View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. REBECCA ANNE ENLOE (O.D.)?
DR. REBECCA ANNE ENLOE (O.D.) — NPI 1578753216 — is the standard way to identify this listing.
Does the file indicate DR. REBECCA ANNE ENLOE (O.D.) is practicing under active NPI?
Directory data currently reports DR. REBECCA ANNE ENLOE (O.D.) as active.
What is DR. REBECCA ANNE ENLOE (O.D.)'s specialty?
The listing groups DR. REBECCA ANNE ENLOE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. REBECCA ANNE ENLOE (O.D.) based?
DR. REBECCA ANNE ENLOE (O.D.) is tied to Tahlequah, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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