VISION & EYE MEDICAL DIAGNOSTIC & LASER CENTER, INC. (NPI# 1114935228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114935228 |
| Entity Type | Organization |
| Organization Name | VISION & EYE MEDICAL DIAGNOSTIC & LASER CENTER, INC. |
| Practice Address |
2319 N. Highway 66 Catoosa OK 74127 |
| Mailing Address |
Po Box 98 2310 N Highway 66 Catoosa OK 74015-0098 |
| Practice Telephone | 9182663411 |
| Practice Fax Number | 9182663412 |
| Mailing Telephone | 9182663411 |
| Mailing Fax Number | 9182663412 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT CHARLES DUKE (OPTOMETRIST) |
| Authorized Official Telephone | (918)266-3411 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
934 | OK | Eye and Vision Services Providers |
| Street Address |
2319 N. HIGHWAY 66 |
| City | CATOOSA |
| State | OK |
| Zip Code | 74127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487912200 | Dr. Jeff M. Long Enterprises, Pllc | Optometrist | 7374 S Olympia Ave, Tulsa, OK 74132-1849 | 2012-04-30 |
| 1417190778 | Family Eye & Vision Care | Optometrist | 126 S Independence Ave, Enid, OK 73701-5624 | 2009-04-15 |
| 1639233612 | Poage Eyecare, PC | Optometrist | 1432 N Mustang Rd, Mustang, OK 73064-7214 | 2006-12-21 |
| 1548330053 | Phillip A. Walker O.d. Inc. | Optometrist | 16135 North May Avenue, Suite A, Edmond, OK 73013 | 2006-11-09 |
| 1689777468 | Leonard Wilkins | Optometrist | 209 Woodlawn Ave, Tahlequah, OK 74464-3317 | 2006-09-06 |
| 1750495206 | Jeffrey A Mitchell | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2006-08-19 |
| 1548278112 | Jan Jay Rigney | Optometrist | 11880 E 86th St N, Owasso, OK 74055-2535 | 2006-08-03 |
| 1811961170 | Andrew Paul Kraft | Optometrist | 409 E Cherokee Ave, Enid, OK 73701-5814 | 2006-02-14 |
| 1013422401 | Young Eye Clinic LLC | Optometrist | 12325 N Rockwell Ave, Oklahoma City, OK 73142-2702 | 2017-12-06 |
| 1144605452 | Thien T Nguyen | Optometrist | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 | 2015-07-28 |
| Find all providers with the same taxonomy | ||||
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| 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.