EYE CENTER ASSOCIATES SE OKLAHOMA (NPI# 1740453653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740453653 |
| Entity Type | Organization |
| Organization Name | EYE CENTER ASSOCIATES SE OKLAHOMA |
| Practice Address |
1425 E Lincoln Rd Idabel OK 74745-7345 |
| Mailing Address |
109 Medical Cir Sulphur Springs TX 75482-2138 |
| Practice Telephone | 5802868288 |
| Practice Fax Number | 9038854916 |
| Mailing Telephone | 9038856531 |
| Mailing Fax Number | 9038854916 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | PHILIP HAYDEN WHITE (CEO) |
| Authorized Official Telephone | 9038856531 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE CENTER ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 12247 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1425 E LINCOLN RD |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-7345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957259 | George Edward Freeman | Internal Medicine | 1425 E Lincoln Rd, Suite B1, Idabel, OK 74745-7345 | 2005-07-22 |
| 1023336849 | Texarkana Eye Associates | Optometrist | 1425 E Lincoln Rd, Suite A-1, Idabel, OK 74745-7345 | 2010-05-05 |
| 1013248376 | Mccurtain Memorial Medical Management, Inc | Family Medicine | 1425 E Lincoln Rd, Idabel, OK 74745-7345 | 2010-01-26 |
| 1578704698 | Mccurtain Memorial Medical Management, Inc. | Psychiatry & Neurology | 1425 E Lincoln Rd, Suite A-2, Idabel, OK 74745-7345 | 2009-03-19 |
| 1255583142 | Mccurtain Memorial Medical Management, Inc | Nurse Practitioner | 1425 E Lincoln Rd, Suite B-2, Idabel, OK 74745-7345 | 2008-10-22 |
| 1356506109 | Mccurtain Memorial Medical Management, Inc. | Surgery | 1425 E Lincoln Rd, Suite A-6, Idabel, OK 74745-7345 | 2008-07-22 |
| 1538212832 | Jon Christopher Webb | Psychiatry & Neurology | 1425 E Lincoln Rd, Suite A-2, Idabel, OK 74745-7345 | 2007-01-19 |
| 1124194568 | George Edward Freeman, D.o.,p.c. | Internal Medicine | 1425 E Lincoln Rd, Suite B-1, Idabel, OK 74745-7345 | 2006-11-28 |
| 1336234202 | Rick Casey | Obstetrics & Gynecology | 1425 E Lincoln Rd, Ste B4, Idabel, OK 74745-7345 | 2006-10-04 |
| 1922056662 | Stephen Jerome Katz | Surgery | 1425 E Lincoln Rd, Suite A-6, Idabel, OK 74745-7345 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.