JENNIFER DRYDEN – Optometrist, NPI 1588285613

JENNIFER DRYDEN is a healthcare provider. based in Tahlequah, Oklahoma. specializing in OPTOMETRY. They hold a License No. 3067 (OK). The NPI Number for JENNIFER DRYDEN is 1588285613

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER DRYDEN
NPI
1588285613
Phone
(832) 588-7361
Address
3810 SOUTHRIDGE CIR APT 3
Enumeration Date
29 April 2020
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5014782046
Graduation Year
2021 (5 years ago)
PAC ID
2668890096
Group Practice PAC ID
4587193404
Professional Enrollment ID
I20210727003141
Address ID
AR721172533NO4120XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for JENNIFER DRYDEN

  • 3810 SOUTHRIDGE CIR APT 3

    TAHLEQUAH, OK 744647919

    Phone: (832) 588-7361

    Type: Mailing

  • 1001 N GRAND AVE

    TAHLEQUAH, OK 744647017

    Phone: (918) 456-5511

    Type: Location

  • 4120 E MCCAIN BLVD

    NORTH LITTLE ROCK, AR 721172531

    Phone: (832) 588-7361

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Alcon Vision LLC ($153).

Total Amount

$153

General + Research + Ownership

Payments

4

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$153
View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20200916001212IOptometryOKTBD
I20201029000929IOptometryTXTBD
I20210727003141IOptometryARTBD

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
92134Imaging of retina183161$0
92014Established patient complete exam of visual system143136$0
99214Established patient office or other outpatient visit, 30-39 minutes130105$0
99213Established patient office or other outpatient visit, 20-29 minutes9984$0
92004New patient complete exam of visual system7878$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 4587193404View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR

Reviews

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Frequently asked questions

Where can patients find JENNIFER DRYDEN's NPI?
You can confirm JENNIFER DRYDEN with NPI 1588285613; it appears in the national provider directory.
Is JENNIFER DRYDEN's NPI currently valid?
The extract we use shows JENNIFER DRYDEN as active.
What field does JENNIFER DRYDEN work in?
You can think of JENNIFER DRYDEN as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is JENNIFER DRYDEN's primary listing?
We display Tahlequah, Oklahoma because that is what the record indicates for JENNIFER DRYDEN.
Is JENNIFER DRYDEN a real provider?
This page reflects official NPPES data for NPI 1588285613. Always confirm identity and privileges with the practice and licensing boards.

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