J D Hudkins O D Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

909 Issued in OK

Legal business name

J D HUDKINS O D INC

Practice address

4008 S Elm PL
Suite a
Broken Arrow, OK 74011-2021

Phone

(918) 455-2020

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Danette L Gunter

Title

Office Manager

Phone

(918) 455-2020

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Blake Robert Bush, O.D.

  • Optometrist
  • Ardmore, OK
  • NPI 1235395542
  Medicare reassignment NPD
• Tracy L Shoemaker, OD

  • Optometrist
  • Broken Arrow, OK
  • NPI 1215135611
  Medicare reassignment NPD
• Janet Poole Naguib, OD

  • Optometrist
  • Broken Arrow, OK
  • NPI 1992330534
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1669509683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 S ELM PL",
            "address_2": "SUITE A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740112021",
            "telephone_number": "918-455-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S ELM PL",
            "address_2": "SUITE A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740112021",
            "telephone_number": "918-455-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J D HUDKINS O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-455-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "909",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "909",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OK",
            "license": "909",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "909",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "OK",
            "license": "909",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "OK",
            "license": "909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "462844000-001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE SENIOR",
            "identifier": "M462844000",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766680A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINCS",
            "identifier": "E066",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaiah Wilson MD PLLC
• Lindsey A Ison, MS, CCC-SLP
• Mayce-Arreem Issa, DMD
• Patricia Joyce Iven, PA-C
• Melana Ivie
• Chinoise Jacobs, ACUPUNCTURIST, MSAOM
• James R. Campbell, D.O., Inc.
• Bonnie Jordan James, PHARM.D.
• Kasia Jarmola
• Christie Jan Jarnagin

• Optometrist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.