Individual provider Active NPI

Maral Moradi Wood, OD

  • Optometrist
  • Coweta, OK
National Provider Identifier
1720871858
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3330 Issued in OK
Practice address
308 N Broadway
Coweta, OK 74429-2604
Phone
(918) 486-2146
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3330 OK Primary

Addresses

Primary practice location

308 N Broadway
Coweta, OK 74429-2604

Mailing address

308 N Broadway
Coweta, OK 74429-2604
Phone (918) 486-2146

Other practice location 1

205 W Okmulgee Ave
Checotah, OK 74426-2408
Phone (918) 473-2308

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
I20251222003590 OK Practitioner - Optometry 4385139955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

308 N Broadway
Coweta, OK 74429-2604
Phone (720) 666-1084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3330OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coweta Eye Care LLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients

Locations

308 N Broadway
Coweta, OK 74429
Phone (720) 666-1084

9905 S Pennsylvania Ave
Ste A
Oklahoma City, OK 73159
Phone (405) 394-5298

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1720871858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292604",
            "telephone_number": "918-486-2146",
            "fax_number": "918-486-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292604",
            "telephone_number": "918-486-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Okmulgee Ave",
            "address_purpose": "LOCATION",
            "city": "Checotah",
            "state": "OK",
            "postal_code": "744262408",
            "country_code": "US",
            "telephone_number": "918-473-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARAL",
        "middle_name": "MORADI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coweta, OK

Sources for this page

Verify at the official NPI Registry.