Active NPI
Courtney Kensing Humphrey, O.D.
- Optometrist
- Moore, OK
National Provider Identifier
1891978748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2456
- Practice address
- 2624 SE 8TH St
Moore, OK 73160-6730 - Phone
- (405) 850-4864
- NPI assigned
- Dec 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6797 | TX | |
| Optometrist | 152W00000X | 2456 | OK | Primary |
Addresses
Primary practice location
2624 SE 8TH St
Moore, OK 73160-6730
Mailing address
2624 SE 8TH St
Moore, OK 73160-6730
Phone (405) 850-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6797 | TX | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Eyecare Associates PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Oklahoma City, OK
- NPI 1407933153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1891978748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 SE 8TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731606730",
"telephone_number": "405-850-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 SE 8TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731606730",
"telephone_number": "405-850-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "COURTNEY",
"middle_name": "KENSING",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-14",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6797",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.