DR. CAROLYN S EDWARDS (NPI# 1750339370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750339370 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN S EDWARDS |
| Credential | O.D. |
| Practice Address |
602 S 3rd St Mcalester OK 74501-5822 |
| Practice Telephone | 9184232031 |
| Practice Fax Number | 9184232115 |
| Mailing Telephone | 9184232031 |
| Mailing Fax Number | 9184232115 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 933 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CIGNA | 731175347002 | 01 |
| OK | 100768860B | 05 | |
| OK | PTAN | OKA100394 | 01 |
| OK | 100763220 A | 05 | |
| OK | BLUECROSSBLUESHIELD OPTIA | 731175347002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506239 | Carolyn Edwards | Technician | 6106 Capestone Dr, Dallas, TX 75217-5601 | 2019-09-04 |
| 1669724894 | Carolyn Vale Edwards | Psychologist | 508 N Rose Ave, Park Ridge, IL 60068-2964 | 2012-10-11 |
| 1538530761 | Carolyn Edwards | Speech-Language Pathologist | 401 7th St, Overton, NE 68863-6345 | 2015-10-14 |
| 1548553233 | Carolyn R. Edwards | Counselor | 5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037 | 2011-05-27 |
| 1255640546 | Carolyn C Edwards | Social Worker | 1050 Crown Pointe Pkwy Ste 450, Atlanta, GA 30338-7705 | 2010-10-04 |
| 1346575727 | Carolyn Edwards | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-10-02 |
| Street Address |
602 S 3RD ST |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629089594 | Johnson Optical Dispensary | Durable Medical Equipment & Medical Supplies | 602 S 3rd St, Mcalester, OK 74501-5822 | 2006-08-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1588273080 | Nattali Nicole Masson | Optometrist | 1400 E Wade Watts Ave, Mcalester, OK 74501-5652 | 2020-07-30 |
| 1811474539 | Hanh Nguyen | Optometrist | 1157 S George Nigh Expy, Mcalester, OK 74501-5946 | 2018-07-25 |
| 1548613151 | Brian Ayres | Optometrist | 1001 E Wyandotte Ave, Mcalester, OK 74501-5433 | 2016-07-19 |
| 1821343617 | Kennedy Eyecare LLC | Optometrist | 2013 Ten Spgs, Mcalester, OK 74501-7098 | 2012-07-17 |
| 1629267794 | F E Smith O D Inc | Optometrist | 401 E Cherokee Ave, Mcalester, OK 74501-5333 | 2007-10-15 |
| 1831127661 | Francis Edward Smith | Optometrist | 401 East Cherokee St, Mcalester, OK 74501 | 2006-06-29 |
| 1992706675 | Thomas Hailey Kanard | Optometrist | 404 E Wyandotte Ave, Mcalester, OK 74501-5464 | 2005-08-03 |
| 1780688374 | Jeffrey T Duff | Optometrist | 211 N 5th St, Mcalester, OK 74501-4713 | 2005-06-10 |
| 1518490556 | Triad Eye Institute Pllc | Optometrist | 1001 E Wyandotte Ave, Mcalester, OK 74501-5433 | 2017-04-06 |
| 1811346554 | Mazzare Vision Group, Pllc | Optometrist | 211 N 5th St, Mcalester, OK 74501-4713 | 2016-06-03 |
| Find all providers in MCALESTER | ||||
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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.