TULSA VISION CLINIC, INC. (NPI# 1164557625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164557625 |
Entity Type | Organization |
Organization Name | TULSA VISION CLINIC, INC. |
Practice Address |
4433 South Harvard Ave. Tulsa OK 74135-2604 |
Practice Telephone | 9187436334 |
Practice Fax Number | 9187436369 |
Mailing Telephone | 9187436334 |
Mailing Fax Number | 9187436369 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2008-08-28 |
Authorized Official Name | DR. JOHN BRIAN CHEATHAM (OPTOMETRIST) |
Authorized Official Telephone | 9187436334 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2356 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200109710A | 05 |
Street Address |
4433 SOUTH HARVARD AVE. |
City | TULSA |
State | OK |
Zip Code | 74135-2604 |
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 | 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 |
1619021938 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7021 S Memorial Dr Ste 248, Tulsa, OK 74133-2075 | 2007-01-23 |
Find all providers in TULSA |
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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.