EYE CARE FOR TULSA INC. (NPI# 1215064308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215064308 |
| Entity Type | Organization |
| Organization Name | EYE CARE FOR TULSA INC. |
| Practice Address |
3906 S Peoria Ave Tulsa OK 74105-3131 |
| Practice Telephone | 9185851523 |
| Practice Fax Number | 9185845520 |
| Mailing Telephone | 9185851523 |
| Mailing Fax Number | 9185845520 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-07-26 |
| Authorized Official Name | AMY MELLISSA JONES (AR MANAGER) |
| Authorized Official Telephone | 9185851523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1063 | OK | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1020 | OK | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2437 | OK | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | 10268 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAIL ROAD MEDICARE | CS3822 | 01 |
| OK | 100735490A | 05 |
| Street Address |
3906 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74105-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768590 | Zeb Linston Brister | Ophthalmology | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2006-05-18 |
| 1356506430 | Christina Beartrack | Optometrist | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2008-07-28 |
| 1558489369 | Eye Care Optical | Eyewear Supplier (Equipment, not the service) | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2007-03-27 |
| 1801833991 | Brad F Wells | Optometrist | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2006-05-31 |
| 1760438931 | James C Stover | Optometrist | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| 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 | ||||
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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.