Active NPI
Ricky James Greenfield, O.D.
- Optometrist
- Keokuk, IA
National Provider Identifier
1124190343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01922
- Practice address
- 3341 Main St
Keokuk, IA 52632-2225 - Phone
- (319) 524-3892
- Fax
- (319) 524-3892
- NPI assigned
- Nov 14, 2006
- Last updated
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 01922 | IA | Primary |
Addresses
Primary practice location
3341 Main St
Keokuk, IA 52632-2225
Mailing address
3341 Main St
Keokuk, IA 52632-2225
Phone (319) 524-3892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013771 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20041108001219 | IA | Practitioner - Optometry | 5395708630 | Practice locations: Keokuk, IA |
| O20100930004494 | IA | DME Supplier - Physician - Optometrist | 3375660640 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Keokuk, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Keokuk, IA
- NPI 1558401265
O20100930004494
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3341 Main St
Keokuk, IA 52632-2225
Phone (319) 524-3892
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.5 of 100
- Quality
- 25
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01922 | IA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1124190343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322225",
"telephone_number": "319-524-3892",
"fax_number": "319-524-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322225",
"telephone_number": "319-524-3892",
"fax_number": "319-524-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "RICKY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "01922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013771",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.