Active NPI
Jessica Greene, O.D.
- Optometrist
- Elk City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2888
- Practice address
- 800 N Main St
Elk City, OK 73644-3414 - Phone
- (580) 225-1980
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2888 | OK | Primary |
Addresses
Primary practice location
800 N Main St
Elk City, OK 73644-3414
Mailing address
800 N Main St
Elk City, OK 73644-3414
Phone (580) 225-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161005000291 | OK | Practitioner - Optometry | 1456649532 | Reassigns benefits to 1 organization |
| I20251010000126 | TX | Practitioner - Optometry | 1456649532 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinton Indian Health CenterWatonga Indian Health CenterEyecare of Western Oklahoma PC
Practice addresses (Care Compare)
10321 N
Suite 2274
Clinton, OK 73601-7521
10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410
1305 S Clarence Nash Blvd
Watonga, OK 73772-4820
Phone (580) 632-4991
800 N Main St
Elk City, OK 73644-3414
Phone (580) 225-1980
Hospital & facility affiliations
- Lawton Indian Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2888 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Reno Indian Health Center | Current | Accepting new patients | |
| Watonga Indian Health Center | Current | Accepting new patients | |
| Eyecare of Western Oklahoma PC | Optometrist | Current | Accepting new patients |
| Clinton Indian Health Center | Current | Accepting new patients |
Locations
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
800 N Main St
Elk City, OK 73644
Phone (580) 225-1978
1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991
Organizations & group practices 4
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1083067490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N MAIN ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736443414",
"telephone_number": "580-225-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MAIN ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736443414",
"telephone_number": "580-225-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JESSICA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.