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Active NPI 1104506419 Individual Practitioner Male Practitioner

Dr. Ethan David Wohlgemuth , OD

Optometrist • Tahlequah, OK

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Wohlgemuth, OD is a registered healthcare professional specializing in Optometrist in Tahlequah, OK. Practice services are available at 1001 N GRAND AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 N Grand Ave

Tahlequah, OK 744647017

Telephone 9184444031
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tahlequah, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
76 Specialists

Practicing in Tahlequah, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
49 44 $62.59 $61.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
44 40 $15.42 $15.21
92134 Imaging of retina
29 26 $24.53 $22.74
92083 Exam of visual field with extended testing
17 17 $26.61 $24.79
92014 Established patient complete exam of visual system
14 14 $76.04 $69.72

Medical Specialties & State Licenses

CMS Verified: 2023-07-20
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 3249

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1033696877

Doctor of Optometry

NPI 1194576215
NPI 1215450671

Doctor of Optometry

NPI 1497641245

Doctor of Optometry

NPI 1609218056

Doctor of Optometry

Dr. Abigail Gillogly Harsch , OD

Optometrist - Corneal and Contact Management

NPI 1649655549

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2023

Registered at 1001 N GRAND AVE, TAHLEQUAH, OK 744647017 (Tel: 9184444031)

📍
Updated Business Mailing Address July 20, 2023

Registered at 1001 N GRAND AVE, TAHLEQUAH, OK 744647017 (Tel: 9184444031)

👤
Provider Name / Credentials Updated July 20, 2023

Recorded as ETHAN WOHLGEMUTH, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2023

Optometrist (License #3249 in OK)

🟢
Initial NPI Registration & Enumeration July 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104506419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2023
Last Update: July 20, 2023
Sole Proprietor: No

Mailing Address

1001 N Grand Ave

Tahlequah, OK 744647017

Phone: 9184444031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.