Christopher Ray Chenoweth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2154 Issued in OK

Practice address

502 E Prospect Ave
Ponca City, OK 74601-7404

Phone

(580) 765-7509

Fax

(580) 765-2886

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackwell Vision Center IncGroup PAC ID 7113047374, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cc@eyeinstitute.ecldirect.net

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.

• Blackwell Vision Center Inc

  • Eyewear Supplier
  • Blackwell, OK
  • NPI 1447397682

  Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• The Eye Institute Inc

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1982638516
  Medicare reassignment NPD
• Blackwell Vision Center Inc

  • Optometrist
  • Sapulpa, OK
  • NPI 1275243883
  NPD Authorized official
• Marc a Goldberg MD PC

  dba Marc A Goldberg MD Optical

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1174836241
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1750300992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E PROSPECT AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746017404",
            "telephone_number": "580-765-7509",
            "fax_number": "580-765-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E PROSPECT AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746017404",
            "telephone_number": "580-765-7509",
            "fax_number": "580-765-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENOWETH",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "2154",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "2154",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OK",
            "license": "2154",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "2154",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deadra Jane Cassady
• Alison Claire Caughlin
• Linda Lucille Caygle
• Klem Price Chandler, PHARMD
• Evette Raye Chaney
• Children S Therapy Zone LLC
• Chiropractic Associates
• Chiropractic Associates 300, LLC
• Choices for Life Counseling Inc.
• Cimarron Valley Therapeutic Services, Inc.

• Optometrist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.