DR. JEFFREY A MITCHELL (NPI# 1750495206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750495206 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A MITCHELL |
| Credential | O.D. |
| Practice Address |
1108 W Cherokee St Wagoner OK 74467-4622 |
| Mailing Address |
Po Box 158 Wagoner OK 74477-0158 |
| Practice Telephone | 9184852123 |
| Mailing Telephone | 9184852123 |
| Mailing Fax Number | 9184854777 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2018 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100759760A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639266042 | Jeffrey R Mitchell | Surgery | 363 Fremont Street, Suite 203, Battle Creek, MI 49017-3398 | 2006-10-06 |
| 1427149277 | Jeffrey Russell Mitchell | Chiropractor | 1918 Broadwater Ave, Billings, MT 59102-4867 | 2006-09-27 |
| 1306873328 | Jeffrey Alan Mitchell | Chiropractor | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2006-06-26 |
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1689143836 | Jeffrey Lane Mitchell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-16 |
| 1306330642 | Jeffrey Steven Mitchell | Nurse Practitioner | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2018-06-20 |
| 1316443054 | Jeffrey Mitchell | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2018-04-02 |
| 1114307188 | Jeffrey L Mitchell | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-04 |
| 1306270319 | Jeffrey David Mitchell | Occupational Therapist | 621 W Micheltorena St, Santa Barbara, CA 93101-4195 | 2013-08-26 |
| 1912219296 | Jeffrey L Mitchell II | Podiatrist | 1413 Hatcher Ln, Columbia, TN 38401-3535 | 2010-07-02 |
| Street Address |
1108 W CHEROKEE ST |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232593 | Mbr Eye LLC | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2019-12-12 |
| 1083167027 | Kari Lynn Wilkerson | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2016-07-26 |
| 1497826358 | Wagoner Eye Clinic Inc | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932389145 | Shelly Rice Od PC Inc | Optometrist | 512 E Cherokee St, Wagoner, OK 74467-4710 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487912200 | Dr. Jeff M. Long Enterprises, Pllc | Optometrist | 7374 S Olympia Ave, Tulsa, OK 74132-1849 | 2012-04-30 |
| 1417190778 | Family Eye & Vision Care | Optometrist | 126 S Independence Ave, Enid, OK 73701-5624 | 2009-04-15 |
| 1639233612 | Poage Eyecare, PC | Optometrist | 1432 N Mustang Rd, Mustang, OK 73064-7214 | 2006-12-21 |
| 1548330053 | Phillip A. Walker O.d. Inc. | Optometrist | 16135 North May Avenue, Suite A, Edmond, OK 73013 | 2006-11-09 |
| 1689777468 | Leonard Wilkins | Optometrist | 209 Woodlawn Ave, Tahlequah, OK 74464-3317 | 2006-09-06 |
| 1114935228 | Vision & Eye Medical Diagnostic & Laser Center, Inc. | Optometrist | 2319 N. Highway 66, Catoosa, OK 74127 | 2006-08-04 |
| 1548278112 | Jan Jay Rigney | Optometrist | 11880 E 86th St N, Owasso, OK 74055-2535 | 2006-08-03 |
| 1811961170 | Andrew Paul Kraft | Optometrist | 409 E Cherokee Ave, Enid, OK 73701-5814 | 2006-02-14 |
| 1013422401 | Young Eye Clinic LLC | Optometrist | 12325 N Rockwell Ave, Oklahoma City, OK 73142-2702 | 2017-12-06 |
| 1144605452 | Thien T Nguyen | Optometrist | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 | 2015-07-28 |
| Find all providers with the same taxonomy | ||||
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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.