Active NPI
R J Greenfield OD
- Durable Medical Equipment & Medical Supplies
- Keokuk, IA
National Provider Identifier
1558401265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- R J GREENFIELD OD
- Practice address
- 3341 Main St
Keokuk, IA 52632-2225 - Phone
- (319) 524-3892
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rick J Greenfield, OD
- Title
- Owner
- Phone
- (319) 524-3892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3341 Main St
Keokuk, IA 52632-2225
Mailing address
3341 Main St
Keokuk, IA 52632-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930004494 | IA | DME Supplier - Physician - Optometrist | 3375660640 |
1 other NPI on this enrollment Practice locations: Keokuk, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| R J Greenfield OD | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3341 Main St
Keokuk, IA 52632
Phone (319) 524-3892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195516800000",
"number": "1558401265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322225",
"telephone_number": "319-524-3892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R J GREENFIELD OD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2007-11-20",
"status": "A",
"authorized_official_last_name": "GREENFIELD",
"authorized_official_first_name": "RICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-524-3892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.