MR. CEDRICK MAH OD NPI 1093447898

NPI Information

  • NPI: 1093447898
  • Provider Name: MR. CEDRICK MAH, OD
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Individual
  • Address: 1001 N GRAND AVE
    TAHLEQUAH, OK
    ZIP 74464
  • Phone: (918) 444-4000

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NPI Details

MR. Cedrick Mah, OD is a low vision rehabilitation optometrist in Tahlequah, OK. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. MR. Cedrick Mah, OD NPI is 1093447898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 N GRAND AVE
TAHLEQUAH, OK
ZIP 74464-017
Phone: (918) 444-4000

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 6/29/2022 and was last updated on 11/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WL0500XOptometristLow Vision Rehabilitation3179OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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