Individual provider Active NPI

Ricky James Greenfield, O.D.

  • Optometrist
  • Keokuk, IA
National Provider Identifier
1124190343
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01922 Issued in IA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0013771MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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.

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 100Reported as individual
Quality
25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01922IAMDOptometrist

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

Verify at the official NPI Registry.