Jeffrey Lynn Pettigrew, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2176 Issued in OK

Practice address

114 36TH Ave NW
Suite 120
Norman, OK 73072-4812

Phone

(405) 366-1110

Fax

(405) 360-5749

NPI assigned

Feb 5, 2007

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norman Vision Clinic PLLCGroup PAC ID 4981627593, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpettigrew@moorenormanvc.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norman Vision Clinic PLLC

  • Optometrist
  • Norman, OK
  • NPI 1376659417
  Medicare reassignment Care Compare group NPD
• Pettigrew Eyecare LLC

  • Optometrist
  • Norman, OK
  • NPI 1629398128
  NPD (past) Authorized official
• Norman Vision Clinic, PLLC

  dba Moore Vision Source

  • Optometrist
  • Moore, OK
  • NPI 1982149969
  NPD
• Butcher Optical III, Inc

  dba Pearle Vision

  • Optometrist
  • Oklahoma City, OK
  • NPI 1043588791
  NPD (past)
• Gary L. Wade, O.D., Inc

  • Optometrist
  • Moore, OK
  • NPI 1912100215
  NPD (past)
• Jeffrey M. Butcher, OD, PC

  dba Pearle Vision

  • Optometrist
  • Oklahoma City, OK
  • NPI 1013031525
  NPD (past)
• Primesource Healthcare Systems, Inc.

  • Podiatrist
  • Buffalo Grove, IL
  • NPI 1497704126

  Optometrist

  NPD (past)
• Primesource Healthcare Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
  • NPI 1801008644
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1497894844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696372",
            "telephone_number": "405-321-2155",
            "fax_number": "405-321-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 36TH AVE NW",
            "address_2": "SUITE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724812",
            "telephone_number": "405-366-1110",
            "fax_number": "405-360-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Peterson, PHARM D.
• Torrea Deshawn Peterson
• Christian Ann Petricek, APRN
• Maci Leigh Petross
• Pettigrew Eyecare LLC
• Monica Pevehouse, LPC
• PF MPW SNF Ops, LLC (Medical Park West Rehabilitation and Skilled Care)
• Brittany Pfaff, MOT, OTR/L
• Maddi Paige Pfleider, PT, DPT
• Michael J Pflughoft, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.