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GREAT PLAINS VISION CENTER
NPI 1194017020
Optometrist in Woodward, OK

Active since May 11, 2011CLIA 37D2124776 · Waiver
1418 MAIN ST, WOODWARD, OK 73801(580) 256-6699(580) 256-6706 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Plains Vision Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT PLAINS VISION CENTER (NPI 1194017020) is a healthcare organization registered as an optometrist in Woodward, Oklahoma and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Jacoby J Dewald, Optometrist / Owner, as its authorized official.

NPPES Registry Identity

NPI1194017020
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGREAT PLAINS VISION CENTER
Location Address1418 MAIN STWoodward, OK 73801-3004
Mailing AddressPo Box 2484Woodward, OK 73802-2484 · (580) 256-6699 · Fax (580) 256-6706
Phone(580) 256-6699
Fax(580) 256-6706
Organization SubpartNo
Authorized OfficialJacoby J DewaldOptometrist / Owner · (580) 256-6699
Enumeration DateMay 11, 2011
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1194017020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 2647
Definition
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.
1418 MAIN ST, Woodward, OK 73801
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Other Identifiers 2

Medicare PINOKAAA1214OK
Medicare NSC6655850001OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2124776

Great Plains Vision Center · Woodward, OK
Active · expires Jan 24, 2027
CLIA Number37D2124776
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorJacoby J. Dewald
Laboratory Phone(580) 256-6699
Laboratory LocationGreat Plains Vision Center1418 Main St, Woodward, OK 73801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OFELIA MARIN, APRN, FNP-BC, LLC.
Clinic/Center (Primary Care)
1418 MAIN ST
WOODWARD, OK 73801
Woodward County (580) 216-0246
DR. JACOBY JOHN DEWALD OD
Optometrist
1418 MAIN ST
WOODWARD, OK 73801
Woodward County (580) 256-6699
MRS. OFELIA MARIN APRN, FNP-BC
Nurse Practitioner
1418 MAIN ST
WOODWARD, OK 73801
Woodward County (580) 216-0246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Plains Vision Center's NPI number?

The NPI number for Great Plains Vision Center is 1194017020. It was assigned to this organization in the NPPES registry on May 11, 2011.

Where is Great Plains Vision Center located?

Great Plains Vision Center is located at 1418 Main St, Woodward, OK 73801. The listed phone number is (580) 256-6699.

What is Great Plains Vision Center's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Great Plains Vision Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2124776) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Plains Vision Center was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.