Kelsey Dawn Grounds, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2779 Issued in OK

Practice address

2123 W 6TH Ave
Stillwater, OK 74074-4136

Phone

(405) 372-3724

NPI assigned

Jun 11, 2013

Last updated

Apr 1, 2015By the provider in NPPES

Sex

Female

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stillwater Vision Clinic PLLCGroup PAC ID 9436231636, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stillwater Vision Clinic PLLC

  • Optometrist
  • Stillwater, OK
  • NPI 1912124751
  Medicare reassignment Care Compare group NPD
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  Medicare reassignment NPD

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1629416789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W 14TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744136",
            "telephone_number": "405-372-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUNDS",
        "first_name": "KELSEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Griffiths, AUD., CCC-A
• Jeremiah Edward Grissett, M.S.
• Dalton Griswold, LPN
• Van Grooms
• Thomas Jai Gross, M.A., NCC, LCPC, LPC
• Group Practice Associates, Inc. (Stillwater Internal Medicine)
• Kyla Groves, MD
• William Joesph Groves, LADC
• Jayce Guilfoyle
• Brian R Gumm, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.