DR. KEN COY RODDY (NPI# 1508910498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508910498 |
| Entity Type | Individual |
| Full Name | DR. KEN COY RODDY |
| Credential | O.D. |
| Practice Address |
1010 N Pennsylvania Ave Ste A Oklahoma City OK 73107-6412 |
| Practice Telephone | 4052362020 |
| Practice Fax Number | 4052362020 |
| Mailing Telephone | 4052362020 |
| Mailing Fax Number | 4052362020 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OK1140 | OK | Eye and Vision Services Providers |
| Street Address |
1010 N PENNSYLVANIA AVE STE A |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-6412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225135320 | Tom W. Wilkinson | Technician/Technologist | 1010 N Pennsylvania Ave, Oklahoma City, OK 73107-6412 | 2006-09-20 |
| 1487993150 | Ken Roddy O.d., Pllc | Optometrist | 1010 N Pennsylvania Ave, Ste A, Oklahoma City, OK 73107-6412 | 2013-01-31 |
| 1205937539 | Action Optical, Inc. | Technician/Technologist | 1010 N Pennsylvania Ave, Oklahoma City, OK 73107-6412 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
| 1609475540 | Mel Vision LLC | Optometrist | 6310 N May Ave, Oklahoma City, OK 73112-4298 | 2020-10-21 |
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
| 1285252213 | Mid-del Vision Source Pllc | Optometrist | 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 | 2020-07-07 |
| 1952948614 | Hero Vision of Okc Pllc | Optometrist | 4836 Nw 23rd St, Oklahoma City, OK 73127-1809 | 2019-12-02 |
| 1285149294 | Snowden Eye Care, Pllc | Optometrist | 7200 S Penn Ave Ste D, Oklahoma City, OK 73159-3336 | 2017-12-13 |
| 1215466123 | Vantage Vision Care PC | Optometrist | 1901 Nw Expressway Ste 2058, Oklahoma City, OK 73118-9229 | 2017-06-06 |
| 1609322809 | Jai Sia Ram PC | Optometrist | 10740 South May Avenue, Suite 115, Oklahoma City, OK 73170 | 2016-08-28 |
| 1346693769 | Pritesh Patel | Optometrist | 10740 S. May Ave, Suite 115, Oklahoma City, OK 73170-5152 | 2016-07-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.