ABBIE ETTER (OD) – Optometrist, NPI 1922836550

ABBIE ETTER (OD) is a healthcare provider. based in Mannford, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3260 (OK). The NPI Number for ABBIE ETTER (OD) is 1922836550

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ABBIE ETTER (OD)
NPI
1922836550
Phone
(918) 865-2116
Address
145 Bill Phelps Blvd
Enumeration Date
24 July 2024
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182242610
Graduation Year
2024 (2 years ago)
PAC ID
4981130200
Group Practice PAC ID
7113047374
Professional Enrollment ID
I20241210004488
Address ID
OK740664312SA17XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:1State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for ABBIE ETTER (OD)

  • 145 Bill Phelps Blvd

    Mannford, OK 740443494

    Phone: (918) 865-2116

    Type: Location

  • 207 W DAVIS AVE

    SAPULPA, OK 740665503

    Phone:

    Type: Mailing

  • 17 S OAK ST

    SAPULPA, OK 740664312

    Phone: (918) 224-2610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,485.

Total Amount is formed as General ($1,485) + Research ($0) + Ownership ($0) = $1,485.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,351).

Total Amount

$1,485

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-10

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
I20241210004488IOptometryOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74044)

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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: 7113047374View full group profile
NameSpecialtyState
O P T O M E T R YOK

Reviews

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Frequently asked questions

What identifier follows ABBIE ETTER (OD) across health systems?
The NPI 1922836550 uniquely identifies ABBIE ETTER (OD) in U.S. healthcare data.
Should I treat ABBIE ETTER (OD) as an active provider?
Patients and plans typically see ABBIE ETTER (OD) as active in the national extract.
What does the directory say ABBIE ETTER (OD) does?
Insurance directories may phrase it differently, but here ABBIE ETTER (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is ABBIE ETTER (OD) tied to Mannford, Oklahoma?
If you are local to Mannford, Oklahoma, ABBIE ETTER (OD) may be relevant to your search.
Can I export ABBIE ETTER (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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