DR. JEFFERY DALE ELLIOTT (NPI# 1780766592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780766592 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY DALE ELLIOTT |
| Credential | O.D. |
| Practice Address |
1139 North Hills Centre Ada OK 74820 |
| Practice Telephone | 5803326000 |
| Practice Fax Number | 5803326006 |
| Mailing Telephone | 5803326000 |
| Mailing Fax Number | 5803326006 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2241 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100762790A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512151 | Jeffery Elliott | Behavioral Analyst | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-08-08 |
| 1679656847 | Jeffery D Elliott | Nurse Practitioner | 1551 Bishop St, Suite110/160, San Luis Obispo, CA 93401-4635 | 2006-10-23 |
| Street Address |
1139 NORTH HILLS CENTRE |
| City | ADA |
| State | OK |
| Zip Code | 74820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1023477106 | Elliott Vision Care, Pllc | Optometrist | 1139 Lonnie Abbott Blvd, North Hills Centre, Ada, OK 74820 | 2016-02-17 |
| 1104915990 | David Carl Solseng | Optometrist | 402 E 3rd St, Suite #1, Ada, MN 56510 | 2006-10-12 |
| 1891880548 | Stacy L Davis | Optometrist | 6739 Fulton St E, Ste A-20, Ada, MI 49301-8138 | 2006-10-04 |
| 1245240217 | Charles Wendell Gurley II | Optometrist | 1433 Arlington St, Ada, OK 74820-2636 | 2006-08-09 |
| 1467479212 | Ada Vision Center Pllc | Optometrist | 400 Ada Dr Se, Ada, MI 49301-8429 | 2006-07-17 |
| 1699716266 | Robert W Cashman | Optometrist | 718 Arlington, Ada, OK 74820-3854 | 2006-06-08 |
| 1972573186 | Steven Christopher Gurley | Optometrist | 309 S. Townsend St, Ada, OK 74820-6429 | 2006-01-23 |
| 1427040633 | Duane L Wires | Optometrist | 107 S Main St, Ada, OH 45810-1240 | 2005-08-16 |
| 1952304586 | Jorge Luis Solorzano | Optometrist | 1414 Arlington St, Ste 1400, Ada, OK 74820-2643 | 2005-05-27 |
| 1235623570 | Candis Clark | Optometrist | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2018-06-20 |
| Find all providers in ADA | ||||
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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.