Mina Pakzad, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2590 Issued in OK

Practice address

2501 W Memorial Rd
Suite 259a
Okc, OK 73134

Phone

(405) 749-0220

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LJ Greenhaw

  • Optometrist
  • Okc, OK
  • NPI 1841459484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1073763371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W MEMORIAL RD",
            "address_2": "SUITE 259A",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-749-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W MEMORIAL RD",
            "address_2": "SUITE 259A",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-749-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKZAD",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Family Foot and Ankle Clinic PLLC
• Erin Moran Shields, MS CCC SLP
• Nancy Nesbitt Nagle, MD
• Ha Minh Nguyen, DDS
• Ernest Emeka Odunze, BS,MA,MPH
• Dennis Matthew Parker, MD
• Paige Hunter Parrack
• Astrud Annig Ray, CMT
• Micah R Roberts
• Tabatha M Rubino, COTA/L

• Optometrist in Okc, OK
• Providers in Okc, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.