Organization Active NPI

Doctor O Greenwood

  • Optometrist
  • Greenwood, IN
National Provider Identifier
1770477408
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOCTOR O GREENWOOD
Practice address
622 N Madison Ave Ste 9
Greenwood, IN 46142-4052
Phone
(317) 653-5872
Fax
(317) 893-4388
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. Olivia Jahnke, ODNPI 1831627116
Title
Owner
Phone
(317) 941-3197

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

622 N Madison Ave Ste 9
Greenwood, IN 46142-4052

Mailing address

622 N Madison Ave Ste 9
Greenwood, IN 46142-4052
Phone (317) 653-5872

Other names 1

  • Greenwood Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251006002752 IN Part B Supplier - Clinic/Group Practice 8426555624 Receives reassigned benefits from 2 practitioners
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1770477408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-653-5872",
            "fax_number": "317-893-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-653-5872",
            "fax_number": "317-893-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR O GREENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "JAHNKE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-941-3197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.