DR. CONNER MICHAEL KAPPERMAN (NPI# 1356961213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356961213 |
| Entity Type | Individual |
| Full Name | DR. CONNER MICHAEL KAPPERMAN |
| Credential | OD |
| Practice Address |
244 S Gateway Pl Jenks OK 74037-3460 |
| Mailing Address |
11500 Mcghee Rd Apison TN 37302-9601 |
| Practice Telephone | 9187472020 |
| Mailing Telephone | 4234439066 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3079 | OK | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
244 S GATEWAY PL |
| City | JENKS |
| State | OK |
| Zip Code | 74037-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871071241 | Haley Kincannon | Optometrist | 244 S Gateway Pl, Jenks, OK 74037-3448 | 2018-07-29 |
| 1942855325 | Sophia Leung | Optometrist | 244 S Gateway Pl, Jenks, OK 74037-3460 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| 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 |
|---|---|---|---|---|
| 1871071241 | Haley Kincannon | Optometrist | 244 S Gateway Pl, Jenks, OK 74037-3448 | 2018-07-29 |
| 1427462050 | Brandon Hadel | Optometrist | 244 S Gateway Place, Suite 401, Jenks, OK 74037 | 2014-06-11 |
| 1881756229 | Tammy Marie Scheff-paul | Optometrist | 317 E Aquarium Pl, Jenks, OK 74037-6811 | 2006-12-14 |
| 1962405928 | Jason Lee Ellen | Optometrist | 244 S. Gateway Place, Suite 401, Jenks, OK 74037 | 2005-05-24 |
| 1942855325 | Sophia Leung | Optometrist | 244 S Gateway Pl, Jenks, OK 74037-3460 | 2019-08-02 |
| 1215401146 | Insight Eyecare Jenks Pllc | Optometrist | 301 W Main St, Jenks, OK 74037-3746 | 2019-01-14 |
| 1326489923 | Riverside Eye Clinic | Optometrist | 524 E Main St, Jenks, OK 74037-4137 | 2013-07-11 |
| 1093966798 | Riverside Eye Clinic | Optometrist | 524 E Main St, Jenks, OK 74037-4137 | 2008-10-01 |
| 1396925889 | Clca Inc | Optometrist | 301 W Main St, Jenks, OK 74037-3746 | 2007-11-13 |
| 1831278654 | Thomas Eugene Vanderpool | Optometrist | 301 W Main St, Jenks, OK 74037-3746 | 2006-11-03 |
| Find all providers in JENKS | ||||
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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.