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

Drew Breedlove

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629823323

Drew Breedlove is an Optometry in Tahlequah, Oklahoma. Qualified in 2024, 2 years ago. Practices with Mbr Eye LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone: (918) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629823323
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address4824 W Dallas St, Broken Arrow, OK 74012-8718

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mbr Eye Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tahlequah