HERO VISION OF UTICA, LLC (NPI# 1184184129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184184129 |
| Entity Type | Organization |
| Organization Name | HERO VISION OF UTICA, LLC |
| Practice Address |
602 S Utica Ave Tulsa OK 74104-2641 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 9185853744 |
| Practice Fax Number | 7199553470 |
| Mailing Telephone | 7195701850 |
| Mailing Fax Number | 7199553470 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | CHARLOTTE SOUDER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7195761850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
602 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076500 | Craig Cameron Hine | Dentist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2005-07-13 |
| 1023625167 | Maria J Rivera | Optometrist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2020-09-23 |
| 1952942062 | Lara Ayas | Optometrist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2019-10-01 |
| 1427512060 | Hero Dental of Oklahoma PC | Dentist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2019-01-28 |
| 1699125989 | Tzu-min Chien | Dentist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2016-06-16 |
| 1629491899 | Grace Young | Optometrist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2014-01-23 |
| 1578874509 | Samuel Owens | Dentist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1336786094 | Hero Vision of Garnett Plaza Pllc | Optometrist | 11331 E 31st St, Tulsa, OK 74146-1906 | 2019-12-02 |
| 1457996472 | Dr. Bridget Zoellner and Associates LLC | Optometrist | 9720 E 31st St Ste A1, Tulsa, OK 74146-1259 | 2019-11-13 |
| 1891340253 | Shea Schmidt | Optometrist | 4606 E 67th St Ste 7, Tulsa, OK 74136-4943 | 2019-08-02 |
| 1598227621 | Focus Family Eyecare Pllc | Optometrist | 7110 S Mingo Rd Ste 108, Tulsa, OK 74133-3273 | 2019-04-06 |
| 1053803635 | South Tulsa Vision Development | Optometrist | 8988 S Sheridan Rd Ste D1, Tulsa, OK 74133-5035 | 2018-05-31 |
| 1124543079 | Kacy Ann Henley | Optometrist | 9102 S. Toledo Ave. #a, Tulsa, OK 74137-2741 | 2017-08-11 |
| 1326561507 | Kristin Patrick | Optometrist | 4520 S Harvard Ave Ste 135, Tulsa, OK 74135-2916 | 2017-07-19 |
| 1255871760 | Trina Inc | Optometrist | 7466 S Olympia Ave, Suite 50, Tulsa, OK 74132-1838 | 2017-03-02 |
| 1801331129 | Perini Eyecare, Pllc | Optometrist | 4002 S Yale Ave Ste B, Tulsa, OK 74135-6070 | 2016-12-21 |
| 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.