VISION SOURCE ALTUS PLLC (NPI# 1770823072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770823072 |
| Entity Type | Organization |
| Organization Name | VISION SOURCE ALTUS PLLC |
| Practice Address |
112 Val Verde St Altus OK 73521-1190 |
| Mailing Address |
112 Val Verde St Ste C Altus OK 73521-1190 |
| Practice Telephone | 5804820051 |
| Practice Fax Number | 5804827746 |
| Mailing Telephone | 5804820051 |
| Mailing Fax Number | 5804827746 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | DR. STEVEN A. GIFFORD (OWNER -OPTOMETRIST) |
| Authorized Official Telephone | 5804820051 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
112 VAL VERDE ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487681011 | Richard Glenn Henry | Dentist | 112 Val Verde St, Suite A, Altus, OK 73521-1190 | 2006-06-27 |
| 1740720333 | Altus Family Vision, Pllc | Optometrist | 112 Val Verde St, Ste C, Altus, OK 73521-1190 | 2017-03-01 |
| 1457438335 | Amie Rebekah Straub | Optometrist | 112 Val Verde St, Suite C, Altus, OK 73521-1190 | 2006-10-31 |
| 1245334523 | Steven Arthur Gifford | Optometrist | 112 Val Verde St, Altus, OK 73521-1190 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| 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 |
|---|---|---|---|---|
| 1871591800 | Michael W Geiger | Optometrist | 809 E Tamarack Rd, Altus, OK 73521-1231 | 2005-07-13 |
| 1760094262 | Madison Rhodes | Optometrist | 809 E Tamarack Rd, Altus, OK 73521-1231 | 2020-08-18 |
| 1336662725 | Bryce J Geiger | Optometrist | 809 E Tamarack Rd, Altus, OK 73521-1231 | 2017-07-18 |
| 1487177861 | Seth H. Geiger | Optometrist | 809 E Tamarack Rd, Altus, OK 73521-1231 | 2017-07-18 |
| 1740720333 | Altus Family Vision, Pllc | Optometrist | 112 Val Verde St, Ste C, Altus, OK 73521-1190 | 2017-03-01 |
| 1326200635 | David M. Huey Od | Optometrist | 1425 N Main St, Altus, OK 73521-2101 | 2008-06-27 |
| 1417166737 | Michael W. Geiger, Od PC | Optometrist | 809 E Tamarack Rd, Altus, OK 73521 | 2007-05-22 |
| 1457438335 | Amie Rebekah Straub | Optometrist | 112 Val Verde St, Suite C, Altus, OK 73521-1190 | 2006-10-31 |
| 1245334523 | Steven Arthur Gifford | Optometrist | 112 Val Verde St, Altus, OK 73521-1190 | 2006-09-08 |
| 1285641555 | Earl F Mccullough Jr. | Optometrist | 1003 N Main St, Suite B, Altus, OK 73521-3119 | 2006-08-01 |
| Find all providers in ALTUS | ||||
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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.