PEDIATRIC OPHTHALMOLOGY, PC (NPI# 1053423947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053423947 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC OPHTHALMOLOGY, PC |
| Other Organization Name | PEDIATRIC AND FAMILY EYEWARE |
| Practice Address |
4606 E 67th St Suite 400 Tulsa OK 74136-4943 |
| Mailing Address |
4606 E 67th St Ste 400 Tulsa OK 74136-4950 |
| Practice Telephone | 9184812738 |
| Practice Fax Number | 9184812785 |
| Mailing Telephone | 9189868585 |
| Mailing Fax Number | 9187288492 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | DR. GARY THANE DENSLOW (PRESIDENT) |
| Authorized Official Telephone | 9189499898 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 038654 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100735860B | 05 |
| Other Name | Type Code |
|---|---|
| KIDS POINTS OF VIEW OPTICAL SHOP | Doing Business As Name - Organization |
| Pediatric and Family Eyeware | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244827 | Pediatric Ophthalmology, PC | Ophthalmology | 4606 E 67th St, Ste 400, Tulsa, OK 74136-4943 | 2005-08-31 |
| Street Address |
4606 E 67TH ST SUITE 400 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-4943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244827 | Pediatric Ophthalmology, PC | Ophthalmology | 4606 E 67th St, Ste 400, Tulsa, OK 74136-4943 | 2005-08-31 |
| 1861945222 | Megan Schmoker | Optometrist | 4606 E 67th St, Suite 400, Bldg #7, Tulsa, OK 74136-4943 | 2016-08-02 |
| 1235682865 | Osu Center for Health Sciences | Clinic/Center | 4606 E 67th St, Suite 400 Building 7, Tulsa, OK 74136-4943 | 2016-08-01 |
| 1245406446 | Bryan D Archer, Dds, Inc. | Dentist | 4606 E 67th St, Bldg 7, Ste 312, Tulsa, OK 74136-4943 | 2008-05-07 |
| 1205044211 | Kali Cole | Ophthalmology | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 | 2007-05-21 |
| 1043383367 | Brice Lance Smith | Dentist | 4606 E 67th St, Ste 212, Tulsa, OK 74136-4943 | 2006-11-16 |
| 1588769780 | M Said Sadeghi | Ophthalmology | 4606 E 67th St, Suite 400 Building 7, Tulsa, OK 74136-4943 | 2006-09-13 |
| 1609984525 | Robert A Augsburger | Dentist | 4606 E 67th St, Bldg 7 Suite 201, Tulsa, OK 74136-4943 | 2006-08-29 |
| 1447363932 | Robert Grant Gerety | Dentist | 4606 E 67th St, Suite 310, Tulsa, OK 74136-4943 | 2006-08-17 |
| 1861505364 | Jill A Bennett | Dentist | 4606 E 67th St, Suite 310, Tulsa, OK 74136-4943 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1548647159 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10220 S. Memorial Drive, Tulsa, OK 74133 | 2015-05-04 |
| 1093112476 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4002 S Yale Ave Ste A, Tulsa, OK 74135-6060 | 2014-12-01 |
| 1144649112 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7021 S Memorial Dr Ste 269b, Tulsa, OK 74133-2025 | 2014-04-07 |
| 1124333802 | Jasso Inc Dba Sooner Optical | Eyewear Supplier (Equipment, not the service) | 5067 S Yale Ave, Tulsa, OK 74135-7010 | 2010-08-18 |
| 1528223302 | Preferred Optical | Eyewear Supplier (Equipment, not the service) | 6606 S Yale, #201, Tulsa, OK 74136 | 2008-07-22 |
| 1922271899 | Billie L. Walsh Od | Eyewear Supplier (Equipment, not the service) | 4120 E 51st St Ste A, Tulsa, OK 74135-3639 | 2008-04-10 |
| 1740480649 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 1535 N 107th East Ave, Tulsa, OK 74116-1509 | 2007-07-19 |
| 1700098589 | Bob Keathley Opticians LLC | Eyewear Supplier (Equipment, not the service) | 6025 S Sheridan Rd, Tulsa, OK 74145-9211 | 2007-05-04 |
| 1164557625 | Tulsa Vision Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 4433 South Harvard Ave., Tulsa, OK 74135-2604 | 2007-02-23 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on PEDIATRIC OPHTHALMOLOGY, PC.
| 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.