INNOVATIVE EYECARE (NPI# 1427365246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427365246 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE EYECARE |
| Practice Address |
1200 Nw 178th St Suite 100 Edmond OK 73012-4279 |
| Mailing Address |
1200 Nw 178th St Ste 100 Edmond OK 73012-4278 |
| Practice Telephone | 4055092100 |
| Mailing Telephone | 4055092100 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | MATTHEW BROOKS (OWNER) |
| Authorized Official Telephone | 4052488836 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OK | Eye and Vision Services Providers |
| Street Address |
1200 NW 178TH ST SUITE 100 |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386835148 | Matthew P Brooks | Optometrist | 1200 Nw 178th St, Ste 100, Edmond, OK 73012 | 2007-08-07 |
| 1487845848 | Jennifer Brooks | Optometrist | 1200 Nw 178th St, Ste 100, Edmond, OK 73012 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| 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 |
| 1295930410 | Premier Eyecare of Edmond Pllc | Optometrist | 2841 Nw 173rd Street, Edmond, OK 73003 | 2007-06-18 |
| 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.