ENVISION MEDICAL & SURGICAL EYE CARE, PC (NPI# 1649588419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649588419 |
| Entity Type | Organization |
| Organization Name | ENVISION MEDICAL & SURGICAL EYE CARE, PC |
| Practice Address |
4 E Clark Bass Blvd Suite 204 Mcalester OK 74501-4269 |
| Practice Telephone | 9184216656 |
| Practice Fax Number | 9184216659 |
| Mailing Telephone | 9184216656 |
| Mailing Fax Number | 9184216659 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | MRS. MIRANDA RENFROW (DO) |
| Authorized Official Telephone | 9184216656 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4949 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
4 E CLARK BASS BLVD SUITE 204 |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189695 | Michael Frank Boyer | Anesthesiology | 4 E Clark Bass Blvd, Suite # 205, Mcalester, OK 74501-4285 | 2005-10-24 |
| 1962968503 | Mai Thuy Murphy | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Mcalester, OK 74501-4269 | 2019-02-19 |
| 1487187928 | Brian David Pullum | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-11 |
| 1083147912 | Benjamin Aaron Nicholas Calvert | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-07 |
| 1932554581 | Christine Mandana Tavakoli | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Suite 301, Mcalester, OK 74501-4269 | 2016-05-02 |
| 1306200548 | Jonathan Paul Rohloff | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Suite 300, Mcalester, OK 74501-4269 | 2016-04-13 |
| 1104215516 | Osu Center for Health Sciences | Clinic/Center | 4 E Clark Bass Blvd, Suite 203, Mcalester, OK 74501-4269 | 2015-01-22 |
| 1053715144 | Mcalester Regional Health Center | Urology | 4 E Clark Bass Blvd, Suite 202, Mcalester, OK 74501-4269 | 2014-10-17 |
| 1639419393 | Mcalester Anesthesia and Respiratory Services Inc | Clinic/Center | 4 E Clark Bass Blvd, Ste. 205, Mcalester, OK 74501-4269 | 2013-02-18 |
| 1184975799 | Mcalester Regional Health Center | Urology | 4 E Clark Bass Blvd, Suite 202, Mcalester, OK 74501-4269 | 2012-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
|---|---|---|---|---|
| 1104928530 | James L Dunagin Jr. | Ophthalmology | 220 N 6th St, Mcalester, OK 74501-4738 | 2006-09-05 |
| 1265611305 | Southeast Eye Surgery Clinic | Ophthalmology | 220 N 6th St, Mcalester, OK 74501-4738 | 2007-10-25 |
| 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 | ||||
Please comment or provide details below to improve the information on ENVISION MEDICAL & SURGICAL EYE CARE, PC.
| 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.