CONCENTRA HEALTH CARE, P.A. (NPI# 1760774525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760774525 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH CARE, P.A. |
| Practice Address |
901 Goodyear Boulevard Lawton OK 73505-9755 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4624 |
| Practice Telephone | 5805315878 |
| Practice Fax Number | 5805315779 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | WILLIAM TOM FOGARTY (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710279583 | Concentra Health Care, P.a. | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505-9755 | 2011-05-11 |
| 1962791780 | Concentra Health Care, P.a. | Clinic/Center | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2011-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CONCENTRA HEALTH CARE, P.A. | 5080 Spectrum Dr Ste 1200 West Tower, Addison, TX 75001 |
| Street Address |
901 GOODYEAR BOULEVARD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558651687 | Concentra Health Care Pa | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505 | 2011-04-11 |
| 1710279583 | Concentra Health Care, P.a. | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505-9755 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1821344912 | Michael Curtis | Optometrist | 5370 Nw Cache Rd Ste 6, Lawton, OK 73505-3371 | 2012-07-26 |
| 1376727230 | Gene Ray | Optometrist | 1224 Nw Sheridan Rd, Lawton, OK 73505 | 2007-12-27 |
| 1992910236 | Sei Optical, Inc. | Optometrist | 602 Nw Sheridan Rd, Lawton, OK 73505-6312 | 2007-05-11 |
| 1356470975 | Robert Dale Head | Optometrist | 1302 Sw C Ave, Lawton, OK 73501-4243 | 2007-03-02 |
| 1730223207 | Timothy E Snider | Optometrist | 1224 Nw Sheridan, Lawton, OK 73505-5210 | 2007-02-17 |
| 1174631691 | James Alan Edwards | Optometrist | 409 Sw C Ave, Lawton, OK 73501-4022 | 2006-08-25 |
| 1780692897 | John E Barnes | Optometrist | 1415 W Gore Blvd, Lawton, OK 73501-3606 | 2006-08-04 |
| 1558379669 | J Dean Nolan | Optometrist | 3414 Nw Cache Rd Ste E, Lawton, OK 73505-3877 | 2006-08-04 |
| 1376587154 | Chris Paul Swanson | Optometrist | 4250 Nw Cache Rd, Lawton, OK 73505-3606 | 2006-06-15 |
| 1730179169 | Howard K Ross | Optometrist | 4250 Nw Cache Rd., Lawton, OK 73505 | 2005-10-26 |
| Find all providers in LAWTON | ||||
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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.