PREMIER EYECARE OF EDMOND PLLC (NPI# 1295930410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295930410 |
| Entity Type | Organization |
| Organization Name | PREMIER EYECARE OF EDMOND PLLC |
| Practice Address |
2841 Nw 173rd Street Edmond OK 73003 |
| Mailing Address |
2841 Nw 173rd St Edmond OK 73012-6728 |
| Practice Telephone | 4055138150 |
| Practice Fax Number | 4055138153 |
| Mailing Telephone | 4055138150 |
| Mailing Fax Number | 4055138153 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | DR. AMBER MAYES (OPTOMETRIST) |
| Authorized Official Telephone | 4055138150 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2613 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200115110A | 05 |
| Street Address |
2841 NW 173RD STREET |
| City | EDMOND |
| State | OK |
| Zip Code | 73003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| 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 |
|---|---|---|---|---|
| 1386281186 | Parkside Eyecare, Pllc | Optometrist | 318 S Littler Ave, Edmond, OK 73034-3823 | 2019-11-30 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1134552615 | Pinnacle Vision Care Pllc | Optometrist | 15808 Sonador Dr, Edmond, OK 73013-5819 | 2013-08-19 |
| 1770916058 | Elise R Bolay | Optometrist | 833 E 33rd St, Edmond, OK 73013-5407 | 2013-08-09 |
| 1104195825 | Eyesguys LLC | Optometrist | 16135 N May Ave Ste A, Edmond, OK 73013-8977 | 2011-12-27 |
| 1124332846 | Oklahoma Mobile Eye Care Associates | Optometrist | 2805 Nw 158th St, Edmond, OK 73013-8821 | 2010-08-05 |
| 1073744900 | Matthew Edward Morris | Optometrist | 1910 E. 2nd St, Edmond, OK 73034-6250 | 2009-07-27 |
| 1457542060 | Chase Vincent Hunter | Optometrist | 775 W Covell Rd, Ste 140, Edmond, OK 73003-2300 | 2007-08-08 |
| 1386835148 | Matthew P Brooks | Optometrist | 1200 Nw 178th St, Ste 100, Edmond, OK 73012 | 2007-08-07 |
| 1902936347 | Omni Eye Center Edmond Inc. | Optometrist | 1333 West 33rd Street, Edmond, OK 73013-6306 | 2007-03-06 |
| Find all providers in EDMOND | ||||
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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.