MRS. VIDYA REGE DRAVID (NPI# 1396746384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396746384 |
| Entity Type | Individual |
| Full Name | MRS. VIDYA REGE DRAVID |
| Credential | MD |
| Practice Address |
927 S Country Club Rd El Reno OK 73036-4907 |
| Practice Telephone | 4052629900 |
| Practice Fax Number | 4052629949 |
| Mailing Telephone | 4052629900 |
| Mailing Fax Number | 4052629949 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | OK11132 | OK | Other Service Providers |
| Y | 207W00000X | Ophthalmology | 11132 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100021390B | 05 |
| Street Address |
927 S COUNTRY CLUB RD |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740470525 | Midwestern Professional Associates Inc | Specialist | 927 S Country Club Rd, El Reno, OK 73036-4907 | 2007-07-27 |
| 1497747679 | Gangadhar K Dravid | Surgery | 927 S Country Club Rd, El Reno, OK 73036-4907 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822177 | Haoxing Jin | Ophthalmology | 608 Stanton L Young Blvd # 509, Oklahoma City, OK 73104-5014 | 2017-03-17 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1710366984 | Meredith Harrell Hartman | Ophthalmology | 3151 W Tecumseh Rd Ste 230, Norman, OK 73072-1846 | 2015-05-21 |
| 1154709970 | Vincent David Venincasa | Ophthalmology | 920 S Bryant Ave Ste 100, Edmond, OK 73034-5803 | 2015-05-13 |
| 1013256486 | Envision Medical & Surgical Eye Care PC | Ophthalmology | 4926 W Kenosha St, Broken Arrow, OK 74012-8517 | 2013-02-05 |
| 1457619272 | Matthew Ross Phillips | Ophthalmology | 1501 N Washington St., Durant, OK 74701 | 2012-04-30 |
| 1962780627 | Mary Anne Ahluwalia | Ophthalmology | 6140 S Memorial Dr Ste 220, Tulsa, OK 74133-1933 | 2011-07-29 |
| 1811284946 | Retina Vitreous Center, Pllc | Ophthalmology | 1008 Nw 139th Street Parkway, Edmond, OK 73013-9791 | 2011-07-10 |
| 1730476730 | Jared Jackson | Ophthalmology | 3431 S Boulevard Ste 105, Edmond, OK 73013-5514 | 2011-06-29 |
| 1912299892 | Joyce Kokatt Varkey | Ophthalmology | 3906 S. Peoria, Eye Care for Tulsa, Tulsa, OK 74105 | 2011-05-10 |
| 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.