PARKSIDE EYECARE, PLLC (NPI# 1386281186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386281186 |
| Entity Type | Organization |
| Organization Name | PARKSIDE EYECARE, PLLC |
| Practice Address |
318 S Littler Ave Edmond OK 73034-3823 |
| Practice Telephone | 4053413567 |
| Practice Fax Number | 4053592000 |
| Mailing Telephone | 4053413567 |
| Mailing Fax Number | 4053592000 |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2020-09-12 |
| Authorized Official Name | DR. JENNIFER JULIE MOORE (OPTOMETRIST) |
| Authorized Official Telephone | 4058243181 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200115110A | 05 |
| Street Address |
318 S LITTLER AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798281 | Nicholas Cash Allensworth | Optometrist | 318 S Littler Ave, Edmond, OK 73034-3823 | 2020-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1295930410 | Premier Eyecare of Edmond Pllc | Optometrist | 2841 Nw 173rd Street, Edmond, OK 73003 | 2007-06-18 |
| 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.