LEDBETTER EYECARE (NPI# 1235315987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235315987 |
| Entity Type | Organization |
| Organization Name | LEDBETTER EYECARE |
| Practice Address |
626 Nw 7th St Moore OK 73160-3804 |
| Practice Telephone | 4057943588 |
| Practice Fax Number | 4057940306 |
| Mailing Telephone | 4057943588 |
| Mailing Fax Number | 4057940306 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | LANCE LEDBETTER (OPTOMETRIST) |
| Authorized Official Telephone | 4057943588 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEDBETTER EYECARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1180 | OK | Suppliers |
| Street Address |
626 NW 7TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151337 | Lance L. Ledbetter | Optometrist | 626 Nw 7th St, Moore, OK 73160-3804 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1740735125 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 705 Sw 19th St, Ste 160, Moore, OK 73160-3049 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172670 | Total Vision Care LLC | Eyewear Supplier (Equipment, not the service) | 10001 S Western Ave Ste 200, Oklahoma City, OK 73139-2997 | 2020-10-21 |
| 1932755733 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1932 N Perkins Rd, Stillwater, OK 74075-2978 | 2019-08-16 |
| 1396303855 | Nu Eyes of Florida Inc. | Eyewear Supplier (Equipment, not the service) | 1705 N 18th St, Broken Arrow, OK 74012-9357 | 2019-05-30 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1164930723 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 5840 N Classen Blvd, Oklahoma City, OK 73118-1211 | 2018-01-17 |
| 1316464407 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3 Nw 9th St, Oklahoma City, OK 73102-5806 | 2017-08-29 |
| 1548647159 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10220 S. Memorial Drive, Tulsa, OK 74133 | 2015-05-04 |
| 1649667304 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 3360 N Ave, Bldg. 685, Tinker Afb, OK 73145-9028 | 2015-04-21 |
| 1760879423 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1718 Macomb Rd, Bldg. 1718, Fort Sill, OK 73503-4530 | 2015-04-21 |
| 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.