Active NPI
Richard D. Creed O.D. PC
- Optometrist
- Muskogee, OK
National Provider Identifier
1700075751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1148
- Legal business name
- RICHARD D. CREED O.D. PC
- Practice address
- 3705 W Broadway St
Muskogee, OK 74401-2142 - Phone
- (918) 687-7530
- Fax
- (918) 687-4019
- NPI assigned
- Oct 16, 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. Richard D Creed, O.D.
- Title
- President Ceo
- Phone
- (918) 687-7530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1148 | OK | Primary |
Addresses
Primary practice location
3705 W Broadway St
Muskogee, OK 74401-2142
Mailing address
3705 W Broadway St
Muskogee, OK 74401-2142
Phone (918) 687-7530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3705 W Broadway St
Muskogee, OK 74401
Phone (918) 687-7530
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Muskogee, OK
- NPI 1144325655
-
- Optometrist
- Tulsa, OK
- NPI 1588273080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1700075751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012142",
"telephone_number": "918-687-7530",
"fax_number": "918-687-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012142",
"telephone_number": "918-687-7530",
"fax_number": "918-687-4019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD D. CREED O.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-16",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "CREED",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "918-687-7530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "1148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.