NORTHEASTERN RETINA, P.C. (NPI# 1043233133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043233133 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN RETINA, P.C. |
| Practice Address |
4415 S Harvard Ave Ste 202 Tulsa OK 74135-2620 |
| Practice Telephone | 9187497667 |
| Mailing Telephone | 9187497667 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SAMEENA KHAN (OWNER) |
| Authorized Official Telephone | 9187497667 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
4415 S HARVARD AVE STE 202 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149566 | William Delgado | Ophthalmology | 4415 S Harvard Ave, 202, Tulsa, OK 74135-2620 | 2005-07-29 |
| 1659858124 | Stephanie Winfield | Audiologist | 4415 S Harvard Ave, Tulsa, OK 74135-2620 | 2018-07-26 |
| 1245783885 | Jennifer Chikar | Hearing Instrument Specialist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2016-08-01 |
| 1316349384 | Nicole Burkhardt | Speech-Language Pathologist | 4415 S Harvard Ave, #125, Tulsa, OK 74135-2620 | 2014-09-22 |
| 1760822506 | Lindsey Pyle | Audiologist | 4415 S Harvard Ave, #125, Tulsa, OK 74135-2620 | 2013-06-25 |
| 1487991949 | Jennifer Marie Smith | Nurse Practitioner | 4415 S Harvard Ave, Suite 202, Tulsa, OK 74135-2620 | 2013-01-03 |
| 1083977094 | Huyen Thai Luong | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2012-06-25 |
| 1386904480 | Julie Carlson Hyland | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2012-05-22 |
| 1154614899 | Barbra Morykwas | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2011-05-26 |
| 1972753556 | Andrea Nicole Satterlee | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2008-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962780627 | Mary Anne Ahluwalia | Ophthalmology | 6140 S Memorial Dr Ste 220, Tulsa, OK 74133-1933 | 2011-07-29 |
| 1912299892 | Joyce Kokatt Varkey | Ophthalmology | 3906 S. Peoria, Eye Care for Tulsa, Tulsa, OK 74105 | 2011-05-10 |
| 1578883336 | Jamal Dean Siddiqui | Ophthalmology | 7171 S Yale Ave Ste 103, Tulsa, OK 74136-6367 | 2010-06-03 |
| 1750617809 | Tlc Vision Center PC | Ophthalmology | 6827 S Memorial Dr, Ste. A, Tulsa, OK 74133-2126 | 2009-10-26 |
| 1982838397 | Anika K Tandon | Ophthalmology | 4606 E. 67th St., Bldg 7, Suite 400, Tulsa, OK 74136-4950 | 2009-05-13 |
| 1235385766 | Kelli Herlihy Dyer | Ophthalmology | 10010 E 81st St Ste 100, Tulsa, OK 74133-4558 | 2008-08-15 |
| 1952563025 | Shannon Gregory Cox | Ophthalmology | 1826 E 15th St Ste B, Tulsa, OK 74104-4637 | 2008-06-30 |
| 1245258789 | Walter James Peters Jr. | Ophthalmology | 7171 S Yale Ave Ste 101, Tulsa, OK 74136-6367 | 2006-07-17 |
| 1154351310 | Bruce Ben Pettigrove | Ophthalmology | 6606 S. Yale, #220, Tulsa, OK 74136 | 2006-07-04 |
| 1093768590 | Zeb Linston Brister | Ophthalmology | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2006-05-18 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on NORTHEASTERN RETINA, P.C..
| 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.