Individual provider Active NPI

Griffin William Trenz, OD

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1699536078
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3250 Issued in OK
Practice address
4520 S Harvard Ave Ste 135
Tulsa, OK 74135-2916
Phone
(918) 745-9662
Fax
(918) 745-9663
NPI assigned
Jan 22, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3250 OK Primary

Addresses

Primary practice location

4520 S Harvard Ave Ste 135
Tulsa, OK 74135-2916

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002216 OK Practitioner - Optometry 7618313008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

1425 E Lincoln Rd
A1 Med Southwest PLLC Dba Texarkana E
Idabel, OK 74745-7345
Phone (580) 286-6000

4520 S Harvard Ave
Suite 135
Tulsa, OK 74135-2916
Phone (918) 745-9662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3250OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Feb 26, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 26, 2024 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

1425 E Lincoln Rd
Ste A1
Idabel, OK 74745
Phone (580) 286-6000

111 S Lewis Ave
Tulsa, OK 74104
Phone (918) 582-2020

4520 S Harvard Ave
Ste 135
Tulsa, OK 74135
Phone (918) 745-9662

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1699536078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 S HARVARD AVE STE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352916",
            "telephone_number": "918-745-9662",
            "fax_number": "918-745-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENZ",
        "first_name": "GRIFFIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.