Jack H Greiner, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

1156 Issued in OK

Practice address

120 W Delaware Ave
Vinita, OK 74301-4224

Phone

(918) 256-5646

Fax

(918) 256-7727

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Riner Eyecare, Inc.

  • Optometrist
  • Tulsa, OK
  • NPI 1891963955
  NPD
• Sherl Moore OD PLLC

  • Optometrist
  • Vinita, OK
  • NPI 1275722738
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1811051535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DELAWARE AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014224",
            "telephone_number": "918-256-5646",
            "fax_number": "918-256-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DELAWARE AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014224",
            "telephone_number": "918-256-5646",
            "fax_number": "918-256-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREINER",
        "first_name": "JACK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "3903090001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Vernon Grant
• Green Country Spine & Sport, PLLC
• Teena Greenfeather
• Johanna Greenwood, RDN
• Angela D Greer, MS, MSW, LMSW
• Laurie Jean Greiner, KAYLA GREINER
• Randy Vincent Grimes
• Michelle Grimmer
• Traci Lynn Grooms
• Curtis Todd Grundy, PH.D.

• Optometrist in Vinita, OK
• Providers in Vinita, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.