Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew Coufal, OD

Individual provider Optometrist · NPI 1265108815

Dr. Andrew Coufal, OD is an Optometry in Ponca City, Oklahoma. Graduated from University Alabama Birmingham - School of Optometry in 2021, 5 years ago. Practices with Blackwell Vision Center Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
OK
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

502 E Prospect Ave
Ponca City, OK 74601-7404
Phone: (580) 765-7509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3120 (OK)

Record details

NPI number1265108815
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Blackwell Vision Center Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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