JOHN MATTHEW ROBERTS JR. (NPI# 1730174954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730174954 |
| Entity Type | Individual |
| Full Name | JOHN MATTHEW ROBERTS JR. |
| Credential | D.O |
| Practice Address |
1717 S Utica Ave Suite 103 The Eye Institute Inc Tulsa OK 74104-5317 |
| Practice Telephone | 9187432319 |
| Practice Fax Number | 9187498870 |
| Mailing Telephone | 9187432319 |
| Mailing Fax Number | 9187498870 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 3314 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100150630A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619498490 | John Herman Roberts Jr. | Family Medicine | 1111 Gallaher Dr., Sherman, TX 75090 | 2017-06-30 |
| 1609158559 | John Charles Roberts Jr. | Specialist/Technologist | 1000 Vermillion St, Concord University, Athens, WV 24712-9027 | 2011-09-16 |
| 1568774842 | John L Roberts | Counselor | 3800 N Classen Blvd, Suite C110, Oklahoma City, OK 73118-2862 | 2010-07-02 |
| 1336342054 | John Lloyd Roberts | Counselor | 2326 Highland Ave S, Ste 201, Birmingham, AL 35205-2912 | 2007-06-08 |
| 1487876934 | John Steven Roberts | Specialist | 2400 Fm 32, San Marcos, TX 78666-1746 | 2007-05-03 |
| 1376766881 | John K Roberts | Psychologist | 5776 Stoneridge Mall Road, Suite 346, Pleasanton, CA 94588 | 2007-04-11 |
| 1285799395 | John Randall Roberts | Dentist | 724 N Grand Ave, Connersville, IN 47331-2015 | 2006-12-27 |
| 1013077924 | John Lucas Roberts IIi | Acupuncturist | 134 W 26th St Fl 2, New York, NY 10001-6803 | 2006-12-11 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1023103561 | John Charles Roberts | Dentist | 256 Martin St., Twin Falls, ID 83301 | 2006-10-03 |
| Street Address |
1717 S UTICA AVE SUITE 103 THE EYE INSTITUTE INC |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023617 | Gerard J Hunter | Ophthalmology | 1717 S Utica Ave, Ste 101 The Eye Institute Inc, Tulsa, OK 74104-5317 | 2005-09-13 |
| 1528575545 | Samantha Joellen Myers | Family Medicine | 1717 S Utica Ave, Ste A, Tulsa, OK 74104 | 2017-12-29 |
| 1003801481 | Mark Justin Weiss | Ophthalmology | 1717 S Utica Ave, Ste 107, Tulsa, OK 74104-5317 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| 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 |
|---|---|---|---|---|
| 1962780627 | Mary Anne Ahluwalia | Ophthalmology | 6140 S Memorial Dr Ste 220, Tulsa, OK 74133-1933 | 2011-07-29 |
| 1912299892 | Joyce Kokatt Varkey | Ophthalmology | 3906 S. Peoria, Eye Care for Tulsa, Tulsa, OK 74105 | 2011-05-10 |
| 1578883336 | Jamal Dean Siddiqui | Ophthalmology | 7171 S Yale Ave Ste 103, Tulsa, OK 74136-6367 | 2010-06-03 |
| 1750617809 | Tlc Vision Center PC | Ophthalmology | 6827 S Memorial Dr, Ste. A, Tulsa, OK 74133-2126 | 2009-10-26 |
| 1982838397 | Anika K Tandon | Ophthalmology | 4606 E. 67th St., Bldg 7, Suite 400, Tulsa, OK 74136-4950 | 2009-05-13 |
| 1235385766 | Kelli Herlihy Dyer | Ophthalmology | 10010 E 81st St Ste 100, Tulsa, OK 74133-4558 | 2008-08-15 |
| 1952563025 | Shannon Gregory Cox | Ophthalmology | 1826 E 15th St Ste B, Tulsa, OK 74104-4637 | 2008-06-30 |
| 1245258789 | Walter James Peters Jr. | Ophthalmology | 7171 S Yale Ave Ste 101, Tulsa, OK 74136-6367 | 2006-07-17 |
| 1154351310 | Bruce Ben Pettigrove | Ophthalmology | 6606 S. Yale, #220, Tulsa, OK 74136 | 2006-07-04 |
| 1093768590 | Zeb Linston Brister | Ophthalmology | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2006-05-18 |
| 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.