GLAUCOMA SURGEONS OF OKLAHOMA PLLC – Glaucoma Specialist (Ophthalmology) Physician, NPI 1811743602

GLAUCOMA SURGEONS OF OKLAHOMA PLLC is a healthcare provider. based in Edmond, Oklahoma. specializing in Glaucoma Specialist (Ophthalmology) Physician. The NPI Number for GLAUCOMA SURGEONS OF OKLAHOMA PLLC is 1811743602

Main info

Organization
Name
GLAUCOMA SURGEONS OF OKLAHOMA PLLC
NPI
1811743602
Phone
(405) 920-5222
Address
1800 RENAISSANCE BLVD
Authorized Official
MAHMOUD AHMAD KHAIMI PHYSICIAN/OWNER MD
Enumeration Date
24 April 2024
Last Update Date
24 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for GLAUCOMA SURGEONS OF OKLAHOMA PLLC

  • 1800 RENAISSANCE BLVD

    EDMOND, OK 730133023

    Phone: (405) 920-5222

    Fax: (405) 920-5209

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-07-15

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
O20240715002362OClinic/Group PracticeOKTBD

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 73013)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check GLAUCOMA SURGEONS OF OKLAHOMA PLLC using NPI 1811743602?
NPI 1811743602 belongs to GLAUCOMA SURGEONS OF OKLAHOMA PLLC; compare other details if you need extra assurance.
Active or inactive — what applies to GLAUCOMA SURGEONS OF OKLAHOMA PLLC?
You should see GLAUCOMA SURGEONS OF OKLAHOMA PLLC as active in CMS-hosted NPPES data.
What expertise is attributed to GLAUCOMA SURGEONS OF OKLAHOMA PLLC?
GLAUCOMA SURGEONS OF OKLAHOMA PLLC's specialty line reads Glaucoma Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Is GLAUCOMA SURGEONS OF OKLAHOMA PLLC located near Edmond?
GLAUCOMA SURGEONS OF OKLAHOMA PLLC currently maps to Edmond, Oklahoma in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MAHMOUD A KHAIMI (M.D.)

Glaucoma Specialist (Ophthalmology) Physician
1800 RENAISSANCE BLVD
NPI: 1881745651

DR. ANDREW KEITH BAILEY (M.D.)

Glaucoma Specialist (Ophthalmology) Physician
1005 Medical Park Blvd
NPI: 1285772160

BASIL MATHEWS (MD)

Ophthalmology Physician
2226 NELSON HWY STE 200
NPI: 1952891087