Kenneth W Guthrie OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

980 Issued in OK

Legal business name

KENNETH W GUTHRIE OD INC

Practice address

13421 N Pennsylvania Ave
Oklahoma City, OK 73120-9008

Phone

(405) 753-9006

Fax

(405) 749-3193

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth W Guthrie, ODNPI 1558414904

Title

President

Phone

(405) 753-9006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth W Guthrie, O.D

  • Optometrist
  • Oklahoma City, OK
  • NPI 1558414904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1205953759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701729",
            "telephone_number": "405-321-3499",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209008",
            "telephone_number": "405-753-9006",
            "fax_number": "405-749-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W GUTHRIE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-753-9006",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Kennedy, OTR/L
• Lisa I Kennerson
• Kenneth Dale Priest MD PC
• Kenneth L. Crawford,M.D.PLLC
• Kenneth R Golda
• Amanda Lucha Kenney, APRN, WHNP-BC
• Sarah Grace Kenney, MD
• Andrea L Kennon
• Roteasha R Kennon
• Melissa Kenny, APRN-CNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.