Individual provider Active NPI

Rodney Claborn, OD

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1801176797
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2688 Issued in OK
Practice address
700 NE 122ND St Apt 3301
Oklahoma City, OK 73114-8170
Phone
(405) 755-7700
Fax
(405) 755-7739
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2688 OK Primary

Addresses

Primary practice location

700 NE 122ND St Apt 3301
Oklahoma City, OK 73114-8170

Mailing address

700 NE 122ND St Apt 3301
Oklahoma City, OK 73114-8170
Phone (405) 755-7700

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
I20111208000274 OK Practitioner - Optometry 5991970618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8549 N Rockwell Ave
Oklahoma City, OK 73132-1521
Phone (405) 720-8316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2688OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Butcher Optical III, Inc Optometrist CurrentSince Aug 3, 2017 Accepting new patients
Butcher Optical I, PC Optometrist CurrentSince Aug 3, 2017 Accepting new patients
Jeffrey M. Butcher, OD, PC Optometrist PastSince Sep 3, 2013 Accepting new patients

Locations

13553 State Road 54
Odessa, FL 33556
Phone (303) 929-3420

14110 N Pennsylvania Ave
Ste 1
Oklahoma City, OK 73134
Phone (405) 775-9300

510 E Memorial Rd
Ste A4
Oklahoma City, OK 73114
Phone (405) 777-4726

7308 NW Expressway
Oklahoma City, OK 73132

7308 NW Expressway
Ste 100
Oklahoma City, OK 73132
Phone (405) 720-8316

8549 N Rockwell Ave
Oklahoma City, OK 73132
Phone (405) 720-8316

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1801176797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE 122ND ST APT 3301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148170",
            "telephone_number": "405-755-7700",
            "fax_number": "405-755-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 122ND ST APT 3301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148170",
            "telephone_number": "405-755-7700",
            "fax_number": "405-755-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABORN",
        "first_name": "RODNEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.