Active NPI
Cody Greenhaw, OD
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1487845954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2526
- Practice address
- 2501 W Memorial Rd Ste 259a
Oklahoma City, OK 73134-8039 - Phone
- (405) 749-0220
- Fax
- (405) 749-0279
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2526 | OK | Primary |
Addresses
Primary practice location
2501 W Memorial Rd Ste 259a
Oklahoma City, OK 73134-8039
Mailing address
2501 W Memorial Rd Ste 259a
Oklahoma City, OK 73134-8039
Phone (405) 749-0220
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080728000390 | OK | Practitioner - Optometry | 9830263623 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midtown Optical PLLC
Practice addresses (Care Compare)
1106 Classen Dr
Oklahoma City, OK 73103-2608
Phone (405) 604-0987
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2526 | OK | MD | Physical Therapy Assistant |
Organizations & group practices 1
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": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1487845954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W MEMORIAL RD STE 259A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731348039",
"telephone_number": "405-749-0220",
"fax_number": "405-749-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W MEMORIAL RD STE 259A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731348039",
"telephone_number": "405-749-0220",
"fax_number": "405-749-0279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENHAW",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.