Individual provider Active NPI

David C Jones, OD

  • Optometrist
  • Woodward, OK
National Provider Identifier
1417977844
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2365 Issued in OK
Practice address
1709 Main St
Woodward, OK 73801-2938
Phone
(580) 256-7755
Fax
(580) 256-4819
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2365 OK Primary

Addresses

Primary practice location

1709 Main St
Woodward, OK 73801-2938

Mailing address

PO Box 1128
Woodward, OK 73802-1128
Phone (580) 256-7755

Other identifiers 1

IdentifierTypeStateIssuer
200003980BMedicaidOK

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
I20080429000100 OK Practitioner - Optometry 3072400910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1709 Main St
Woodward, OK 73801-2938
Phone (580) 256-7755

Merit-based Incentive Payment System (MIPS)

Final score
85.13 of 100Reported as individual
Quality
70.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Associates PC Optometrist CurrentSince Mar 1, 2008 Accepting new patients
Stotts Eyecare PC Optometrist PastSince Oct 1, 2012 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients
W D Diehl OD Inc Optometrist Past Accepting new patients
Cherokee Nation Past Accepting new patients

Locations

1709 Main St
Woodward, OK 73801
Phone (405) 256-7755

Interoperability endpoints

  • Direct secure messaging: drjones@direct.revolutionehr.com

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1417977844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738021128",
            "telephone_number": "580-256-7755",
            "fax_number": "580-256-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012938",
            "telephone_number": "580-256-7755",
            "fax_number": "580-256-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003980B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.