NPIMap

Organization Active NPI

Dwight C Shreck OD

  • Optometrist
  • Weatherford, OK
National Provider Identifier
1891935888
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1033O Issued in OK
Legal business name
DWIGHT C SHRECK OD
Practice address
500 N Washington St
Weatherford, OK 73096-5700
Phone
(580) 777-2323
Fax
(580) 774-2020
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Dwight C Shreck, D.O.
Title
Owner
Phone
(580) 772-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1033O OK Primary

Addresses

Primary practice location

500 N Washington St
Weatherford, OK 73096-5700

Mailing address

PO Box 829
Weatherford, OK 73096-0829
Phone (580) 772-3232

National Provider Directory

National Provider Directory

Locations

500 N Washington St
Weatherford, OK 73096
Phone (580) 772-3232

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": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1891935888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730960829",
            "telephone_number": "580-772-3232",
            "fax_number": "580-774-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965700",
            "telephone_number": "580-777-2323",
            "fax_number": "580-774-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT C SHRECK OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SHRECK",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-772-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1033O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.