Midtown Optical PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2526 Issued in OK

Legal business name

MIDTOWN OPTICAL PLLC

Practice address

1106 Classen Dr
Oklahoma City, OK 73103-2608

Phone

(405) 604-0987

Fax

(405) 604-3359

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Cody Patrick Greenhaw, ODNPI 1487845954

Title

Optometrist

Phone

(405) 604-0987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

• Cody Greenhaw, OD

  • Optometrist
  • Oklahoma City, OK
  • NPI 1487845954

  OK

  Medicare reassignment Care Compare group Authorized official
• Larry J Greenhaw, OD

  • Optometrist
  • Oklahoma, OK
  • NPI 1184758484

  OK, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1427369974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLASSEN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032608",
            "telephone_number": "405-604-0987",
            "fax_number": "405-604-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLASSEN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032608",
            "telephone_number": "405-604-0987",
            "fax_number": "405-604-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "GREENHAW",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-604-0987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Middleton
• Midland Stats
• Midtown Anesthesia Consultants PLLC
• Midtown Drug
• Midtown Home Dialysis LLC
• Midtown Orthopedics and Sports Medicine LLC
• Midtown Pediatric Dentistry, PLLC
• Midtown Personal Injury, PLLC
• Midtown Rehab LLC
• Midwest Allergy Clinic

• All providers in Oklahoma City, OK
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.