MEDICARE: DR. KATHY JO MCKENZIE 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	152W00000X	Optometrist	1112	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
2	4994830001	OTHER	OK	DMEPOS, PALMETTO

General Provider Information

NPI Number	:	1861503823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHY JO MCKENZIE O.D.

Provider Business Mailing Address
First Line	:	1000 SW 44TH ST
Second Line	:	SUITE 300
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3630
Country	:	US
Telephone Number	:	405-634-2471
Fax Number	:	405-634-1374

Provider Business Practice Location Address
First Line	:	1000 SW 44TH ST
Second Line	:	SUITE 300
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3630
Country	:	US
Telephone Number	:	405-634-2471
Fax Number	:	405-634-1374

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/08/2011

Similar Medicare Providers

1083653919 — KENT H WEBB MD PLLC
Practice Location Address:

1000 SW 44TH ST , SUITE 100
OKLAHOMA CITY, OK
73109-3630

Practice Phone: 405-632-4616
Practice Fax: 405-631-1550

1114071552 — KATHY J. MCKENZIE, O.D., INC.
Practice Location Address:

1000 SW 44TH ST , SUITE 300
OKLAHOMA CITY, OK
73109-3630

Practice Phone: 405-634-2471
Practice Fax: 405-634-1374

1144829441 — THUNDER HEALTHCARE APRN PLLC
Practice Location Address:

1000 SW 44TH ST
OKLAHOMA CITY, OK
73109-3630

Practice Phone: 405-926-0353
Practice Fax:

1457791444 — THUY HONG NGUYEN MD
Practice Location Address:

5100 N BROOKLINE AVE STE 900
OKLAHOMA CITY, OK
73112-3630

Practice Phone: 405-604-3170
Practice Fax: 405-948-2745

1659712545 — TU BUI MD
Practice Location Address:

5100 N BROOKLINE AVE STE 900
OKLAHOMA CITY, OK
73112-3630

Practice Phone: 405-604-3170
Practice Fax: 405-948-2745

1760412845 — DR. SUKHDEEP S. TAKHER O.D.
Practice Location Address:

1145 COLUSA AVE STE C , NU VISION OPTOMETRY
YUBA CITY, CA
95991-3630

Practice Phone: 530-751-1325
Practice Fax: 530-751-0639

Directions to “ DR. KATHY JO MCKENZIE 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 © 2007-2026 (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.