SCOTT EYE CARE P L L C (NPI# 1245309095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245309095 |
| Entity Type | Organization |
| Organization Name | SCOTT EYE CARE P L L C |
| Other Organization Name | NORTHWEST EYE ASSOCIATES |
| Practice Address |
400 S Main St Shattuck OK 73858 |
| Mailing Address |
Po Box 770 Shattuck OK 73858-0770 |
| Practice Telephone | 5809385210 |
| Practice Fax Number | 5809382166 |
| Mailing Telephone | 5809385210 |
| Mailing Fax Number | 5809382166 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | DR. DAVID C JONES (SOLE MEMBER) |
| Authorized Official Telephone | 5809385210 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST EYE ASSOCIATES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | 2374 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | 410049616 | 01 |
| OK | 200078760A | 05 |
| Other Name | Type Code |
|---|---|
| Northwest Eye Associates | Doing Business As Name - Organization |
| Street Address |
400 S MAIN ST |
| City | SHATTUCK |
| State | OK |
| Zip Code | 73858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083999403 | Shandy Baggs | Nurse Practitioner | 404 S Main, Shattuck, OK 73858 | 2011-10-17 |
| 1730307943 | Robert Bradley Bunch | Registered Nurse | 905 South Main, Shattuck, OK 73858 | 2007-04-23 |
| 1811073208 | Kristen A Burris | Dentist | 1515 South Main Street, Shattuck, OK 73858 | 2006-10-27 |
| 1891716775 | Danna K Stuart | Family Medicine | 404 South Main Street, Shattuck, OK 73858 | 2006-07-23 |
| 1083617807 | Newman Memorial Hospital, Inc | General Acute Care Hospital | 905 S Main St, Shattuck, OK 73858 | 2005-05-24 |
| 1164722864 | Foundation Health & Wellness Institute PC | Clinic/Center | 404 S. Main St., Shattuck, OK 73858 | 2010-10-27 |
| 1285801324 | Kristen A Burris, D.d.s. L.L.C. | Dentist | 1515 South Main Street, Shattuck, OK 73858 | 2008-05-08 |
| 1285731596 | Kerie Bay | Pharmacist | 522 South Main Street, Shattuck, OK 73858-0099 | 2006-09-20 |
| 1942203070 | Ellis County Ems | Ambulance | 1201 E 1st, Shattuck, OK 73858-0591 | 2005-05-23 |
| 1407050560 | Jamie L Cameron | Dentist | 1515 S. Main St., Shattuck, OK 73858-0609 | 2007-06-13 |
| Find all providers in zip 73858 | ||||
| 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 |
|---|---|---|---|---|
| 1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
| 1609475540 | Mel Vision LLC | Optometrist | 6310 N May Ave, Oklahoma City, OK 73112-4298 | 2020-10-21 |
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1770190779 | Nate Richard Castillo | Optometrist | 2625 Cambridge Cir, Tahlequah, OK 74464-4690 | 2020-09-24 |
| 1427663731 | Kathryn Elizabeth Kubiak | Optometrist | 1811 W Grant Ave, Pauls Valley, OK 73075-9202 | 2020-09-14 |
| 1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1588273080 | Nattali Nicole Masson | Optometrist | 1400 E Wade Watts Ave, Mcalester, OK 74501-5652 | 2020-07-30 |
| 1225647415 | Legacy Eye Care Pllc | Optometrist | 1207 Cornwell Dr, Yukon, OK 73099-4633 | 2020-07-24 |
| 1285252213 | Mid-del Vision Source Pllc | Optometrist | 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 | 2020-07-07 |
| 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.