Ken Roddy O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1140 Issued in OK

Legal business name

KEN RODDY O.D., PLLC

Practice address

1010 N Pennsylvania Ave
Ste a
Oklahoma City, OK 73107-6412

Phone

(405) 236-2020

Fax

(405) 236-5001

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Kenneth Roddy, OD

Title

Owner

Phone

(405) 236-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ken Coy Roddy, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1508910498
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1487993150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N PENNSYLVANIA AVE",
            "address_2": "STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076412",
            "telephone_number": "405-236-2020",
            "fax_number": "405-236-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N PENNSYLVANIA AVE",
            "address_2": "STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076412",
            "telephone_number": "405-236-2020",
            "fax_number": "405-236-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN RODDY O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "RODDY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-236-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna L Kemp
• Nathaniel Christopher Kemp
• Karla Kemph
• Kathryn Reynolds Kemph, WHNP
• Dawn Marie Kempton, BA, BHRS
• Denise Delylah Kendall, APRN
• Karen Sloulin Kendall, PHD
• Kendra Lauderdale
• Antoinette Katie Kendrick
• Daffney M. Kendrick

• 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 Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.