DR. JO PONGSATIEN (NPI# 1558747295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558747295 |
| Entity Type | Individual |
| Full Name | DR. JO PONGSATIEN |
| Credential | O.D. |
| Practice Address |
6465 S Yale Ave Ste 215 Tulsa OK 74136-7823 |
| Practice Telephone | 9184928455 |
| Practice Fax Number | 9184920102 |
| Mailing Telephone | 9184928455 |
| Mailing Fax Number | 9184920102 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2864 | OK | Eye and Vision Services Providers |
| Street Address |
6465 S YALE AVE STE 215 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372878 | Jere Davies Cravens | Pediatrics | 6465 S Yale Ave, #715, Tulsa, OK 74136-7822 | 2005-08-10 |
| 1063958130 | Angela Dawn July | Nurse Practitioner | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2017-01-13 |
| 1912378050 | Maryanne Bolt | Nurse Practitioner | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7823 | 2015-10-15 |
| 1376960799 | Monica Broussard | Physician Assistant | 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | 2014-03-24 |
| 1114348422 | Tia Alexis Christ | Nurse Practitioner | 6465 S Yale Ave, Suite 704, Tulsa, OK 74136-7823 | 2014-01-05 |
| 1053740050 | Osteopathic Physicians of Tulsa, Inc | Internal Medicine | 6465 S Yale Ave, Ste 401, Tulsa, OK 74136-7823 | 2013-11-11 |
| 1063851863 | Jennifer Christina Craig | Specialist/Technologist, Other | 6465 S Yale Ave, Suite 900, Tulsa, OK 74136-7823 | 2013-06-14 |
| 1841546637 | Alexandria Nicole Fifer | Nurse Practitioner | 6465 S Yale Ave, Suite 704, Tulsa, OK 74136-7823 | 2012-07-30 |
| 1457618613 | Kristy Kay Martin | Clinical Nurse Specialist | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2012-04-12 |
| 1215209358 | Erika Marie Allison | Physician Assistant | 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| 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 |
|---|---|---|---|---|
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1336786094 | Hero Vision of Garnett Plaza Pllc | Optometrist | 11331 E 31st St, Tulsa, OK 74146-1906 | 2019-12-02 |
| 1457996472 | Dr. Bridget Zoellner and Associates LLC | Optometrist | 9720 E 31st St Ste A1, Tulsa, OK 74146-1259 | 2019-11-13 |
| 1891340253 | Shea Schmidt | Optometrist | 4606 E 67th St Ste 7, Tulsa, OK 74136-4943 | 2019-08-02 |
| 1598227621 | Focus Family Eyecare Pllc | Optometrist | 7110 S Mingo Rd Ste 108, Tulsa, OK 74133-3273 | 2019-04-06 |
| 1053803635 | South Tulsa Vision Development | Optometrist | 8988 S Sheridan Rd Ste D1, Tulsa, OK 74133-5035 | 2018-05-31 |
| 1124543079 | Kacy Ann Henley | Optometrist | 9102 S. Toledo Ave. #a, Tulsa, OK 74137-2741 | 2017-08-11 |
| 1326561507 | Kristin Patrick | Optometrist | 4520 S Harvard Ave Ste 135, Tulsa, OK 74135-2916 | 2017-07-19 |
| 1255871760 | Trina Inc | Optometrist | 7466 S Olympia Ave, Suite 50, Tulsa, OK 74132-1838 | 2017-03-02 |
| 1801331129 | Perini Eyecare, Pllc | Optometrist | 4002 S Yale Ave Ste B, Tulsa, OK 74135-6070 | 2016-12-21 |
| Find all providers in TULSA | ||||
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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.