Active NPI
Kenneth W Guthrie, O.D
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1558414904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 980
- Practice address
- 13421 N Pennsylvania Ave
Oklahoma City, OK 73120-9008 - Phone
- (405) 753-9006
- Fax
- (405) 748-3193
- NPI assigned
- Jan 19, 2007
- Last updated
- Feb 26, 2008
- 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 | 980 | OK | Primary |
Addresses
Primary practice location
13421 N Pennsylvania Ave
Oklahoma City, OK 73120-9008
Mailing address
PO Box 1729
Norman, OK 73070-1729
Phone (405) 321-3499
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13421 N Penn Ave
Oklahoma City, OK 73120-9008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 980 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth W Guthrie OD Inc | Optometrist | Current | Accepting new patients |
Locations
13421 N Pennsylvania Ave
Oklahoma City, OK 73120
Phone (405) 753-9006
Organizations & group practices 2
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.
-
- Optometrist
- Oklahoma City, OK
- NPI 1205953759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1558414904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1729",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701729",
"telephone_number": "405-321-3499",
"fax_number": "405-364-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13421 N PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209008",
"telephone_number": "405-753-9006",
"fax_number": "405-748-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "KENNETH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "980",
"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 Feb 26, 2008; 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.