Individual provider Active NPI

Todd Earl Wright, OD

  • Optometrist
  • Edmond, OK
National Provider Identifier
1114999893
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1187 Issued in OK
Practice address
185 Stonebridge Blvd
Edmond, OK 73013-4639
Phone
(405) 359-8444
Fax
(405) 285-8585
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1187 OK Primary

Addresses

Primary practice location

185 Stonebridge Blvd
Edmond, OK 73013-4639

Mailing address

185 Stonebridge Blvd
Edmond, OK 73013-4639
Phone (405) 359-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20041202000568 OK Practitioner - Optometry 0749246643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinsinger Vision Care PLLCGroup PAC ID 2668906488, 2 clinicians

Practice addresses (Care Compare)

185 Stonebridge Blvd
Edmond, OK 73013-4683
Phone (405) 359-8444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinsinger Vision Care PLLC Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Centennial Health, PC PastSince May 1, 1992 Accepting new patients
National Family Medical Associates, LLC PastSince Feb 1, 2023 Accepting new patients

Locations

185 Stonebridge Blvd
Ste 110
Edmond, OK 73013
Phone (405) 359-8444

185 Stonebridge Blvd
Edmond, OK 73013
Phone (405) 359-8444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1114999893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 STONEBRIDGE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134639",
            "telephone_number": "405-359-8444",
            "fax_number": "405-285-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STONEBRIDGE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134639",
            "telephone_number": "405-359-8444",
            "fax_number": "405-285-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TODD",
        "middle_name": "EARL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.