William Martin Grovenburg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3225 Issued in OK

Practice address

1103 W Center St
Collinsville, OK 74021-3108

Phone

(918) 371-3339

Fax

(918) 371-9600

NPI assigned

Jul 31, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beatty-JTJV LLCGroup PAC ID 7810426210, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beatty-JTJV LLC

  • Optometrist
  • Sand Springs, OK
  • NPI 1093531766
  Medicare reassignment Care Compare group NPD
• Beatty-JTJV LLC

  • Optometrist
  • Claremore, OK
  • NPI 1063238731
  NPD
• Beatty-JTJV LLC

  • Optometrist
  • Collinsville, OK
  • NPI 1467278135
  NPD
• One Vision PLLC

  • Optometrist
  • Broken Arrow, OK
  • NPI 1982143095
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1336820547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W CENTER ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213108",
            "telephone_number": "918-371-3339",
            "fax_number": "918-371-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVENBURG",
        "first_name": "WILLIAM",
        "middle_name": "MARTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi A Glasscock, BSN, RN, NCSN
• Golden Heart CPR Training LLC
• Golden Heart Transportation LLC
• Goodspine PLC
• Kellie Diane Gregory
• Melissa Ann Grunewald
• Beth Hall, RN
• Leonard Duane Hart, O.D.
• Preston Hassell, APRN-CNP
• William A Heath

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.

Verify at the official NPI Registry.