LJ Greenhaw

Primary specialty

OptometristTaxonomy code 152W00000X

License

921 Issued in OK

Legal business name

LJ GREENHAW

Practice address

2501 W Memorial Rd
Ste 259a
Okc, OK 73134-8039

Phone

(405) 749-0220

Fax

(405) 749-0278

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Larry J Greenhaw, OD

Title

Owner

Phone

(405) 749-0220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mina Pakzad, OD

  • Optometrist
  • Okc, OK
  • NPI 1073763371
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1841459484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W MEMORIAL RD",
            "address_2": "STE 259A",
            "city": "OKC",
            "state": "OK",
            "postal_code": "731348039",
            "telephone_number": "405-749-0220",
            "fax_number": "405-749-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W MEMORIAL RD",
            "address_2": "STE 259A",
            "city": "OKC",
            "state": "OK",
            "postal_code": "731348039",
            "telephone_number": "405-749-0220",
            "fax_number": "405-749-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ GREENHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "GREENHAW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-749-0220",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nana Yaa Afrakomah Koomson
• Maria Susan Kunkel, LCSW
• Leesa Lacey
• Michael Ray Lavine Jr., BHRS
• Life and Hope Counseling LLC
• Domonique Montrell Lugrand
• James Paul Maltos, BHRS
• Melody Martin
• Karen Kay Massey, RD, LD
• Carrie Matthews, COTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.