MEDICARE: DR. CHRISTOPHER RAY CHENOWETH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	2154	OK
2	152WP0200X	Pediatric Optometrist	2154	OK
3	152WS0006X	Sports Vision Optometrist	2154	OK
4	332H00000X	Eyewear Supplier	2154	OK
5	152W00000X	Optometrist	2154	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750300992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER RAY CHENOWETH O.D.

Provider Business Mailing Address
First Line	:	502 E PROSPECT AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-7404
Country	:	US
Telephone Number	:	580-765-7509
Fax Number	:	580-765-2886

Provider Business Practice Location Address
First Line	:	502 E PROSPECT AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-7404
Country	:	US
Telephone Number	:	580-765-7509
Fax Number	:	580-765-2886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	12/05/2022

Similar Medicare Providers

1265108815 — DR. ANDREW COUFAL OD
Practice Location Address:

502 E PROSPECT AVE
PONCA CITY, OK
74601-7404

Practice Phone: 580-765-7509
Practice Fax:

1922202605 — HEATHER I DIXON LMT, CPT
Practice Location Address:

3001 W 10TH ST UNIT 101A
PANAMA CITY, FL
32401-7404

Practice Phone: 850-774-1199
Practice Fax:

1134363237 — MRS. KRISTIE SIMONDS M.S., CCC-SLP
Practice Location Address:

362 LOG CITY RD
AMSTERDAM, NY
12010-7404

Practice Phone: 518-848-1003
Practice Fax:

1992033351 — MRS. TARYN GOODWIN CPM
Practice Location Address:

7404 S DOUGLAS AVE
OKLAHOMA CITY, OK
73139-1912

Practice Phone: 405-413-7337
Practice Fax:

1639478811 — CRISTINA ELIZABETH DEIS MD
Practice Location Address:

2835 HIGHLAND AVE
NATIONAL CITY, CA
91950-7404

Practice Phone: 619-474-5567
Practice Fax:

1598186124 — WILLIAM KAMWA
Practice Location Address:

7404 KINGS MANOR CT
OKLAHOMA CITY, OK
73132-5620

Practice Phone: 405-473-2441
Practice Fax:

Directions to “ DR. CHRISTOPHER RAY CHENOWETH O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.