ADA VISION CENTER PLLC (NPI# 1467479212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467479212 |
| Entity Type | Organization |
| Organization Name | ADA VISION CENTER PLLC |
| Practice Address |
400 Ada Dr Se Ada MI 49301-8429 |
| Mailing Address |
Po Box 219 Ada MI 49301-0219 |
| Practice Telephone | 6166761283 |
| Practice Fax Number | 6166769133 |
| Mailing Telephone | 6166761283 |
| Mailing Fax Number | 6166769133 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | MR. THOMAS P. REYBURN (OWNER SINCE 1977) |
| Authorized Official Telephone | 6166761283 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002630 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4140369 | 05 |
| Street Address |
400 ADA DR SE |
| City | ADA |
| State | MI |
| Zip Code | 49301-8429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205973195 | Thomas P Reyburn | Optometrist | 400 Ada Dr Se, Ada, MI 49301-8429 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| 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 |
|---|---|---|---|---|
| 1023477106 | Elliott Vision Care, Pllc | Optometrist | 1139 Lonnie Abbott Blvd, North Hills Centre, Ada, OK 74820 | 2016-02-17 |
| 1780766592 | Jeffery Dale Elliott | Optometrist | 1139 North Hills Centre, Ada, OK 74820 | 2006-10-20 |
| 1104915990 | David Carl Solseng | Optometrist | 402 E 3rd St, Suite #1, Ada, MN 56510 | 2006-10-12 |
| 1891880548 | Stacy L Davis | Optometrist | 6739 Fulton St E, Ste A-20, Ada, MI 49301-8138 | 2006-10-04 |
| 1245240217 | Charles Wendell Gurley II | Optometrist | 1433 Arlington St, Ada, OK 74820-2636 | 2006-08-09 |
| 1699716266 | Robert W Cashman | Optometrist | 718 Arlington, Ada, OK 74820-3854 | 2006-06-08 |
| 1972573186 | Steven Christopher Gurley | Optometrist | 309 S. Townsend St, Ada, OK 74820-6429 | 2006-01-23 |
| 1427040633 | Duane L Wires | Optometrist | 107 S Main St, Ada, OH 45810-1240 | 2005-08-16 |
| 1952304586 | Jorge Luis Solorzano | Optometrist | 1414 Arlington St, Ste 1400, Ada, OK 74820-2643 | 2005-05-27 |
| 1235623570 | Candis Clark | Optometrist | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2018-06-20 |
| Find all providers in ADA | ||||
Please comment or provide details below to improve the information on ADA VISION CENTER PLLC.
| 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.