DR. MOLLY GEAN TEBOW (NPI# 1811305659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811305659 |
| Entity Type | Individual |
| Full Name | DR. MOLLY GEAN TEBOW |
| Credential | O.D. |
| Practice Address |
1640 W Keetoowah St Tahlequah OK 74464-3497 |
| Practice Telephone | 9184562250 |
| Practice Fax Number | 9184562251 |
| Mailing Telephone | 9184562250 |
| Mailing Fax Number | 9184562251 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2831 | OK | Eye and Vision Services Providers |
| Street Address |
1640 W KEETOOWAH ST |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497779748 | Kate L Miller | Optometrist | 1640 W Keetoowah St, Tahlequah, OK 74464-3497 | 2006-07-27 |
| 1821641267 | Kelsey Buford | Optometrist | 1640 W Keetoowah St, Tahlequah, OK 74464-3497 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| 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 |
|---|---|---|---|---|
| 1770190779 | Nate Richard Castillo | Optometrist | 2625 Cambridge Cir, Tahlequah, OK 74464-4690 | 2020-09-24 |
| 1396365581 | Ryan Swindell | Optometrist | 1504 Northpark Dr, Tahlequah, OK 74464-6241 | 2020-04-17 |
| 1285289694 | Bret Wilmon | Optometrist | 1402 N Vinita Ave Unit 5, Tahlequah, OK 74464-6483 | 2019-08-03 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1750766325 | Wyatt Williams | Optometrist | 17900 S Muskogee Ave, Tahlequah, OK 74464-5494 | 2015-07-24 |
| 1790160455 | Samantha Giang | Optometrist | 3857 Southridge Cir, Apt #2, Tahlequah, OK 74464-7948 | 2015-07-23 |
| 1962821546 | Gary R. Morgan, Optometrist, P.C. | Optometrist | 2010 S Muskogee Ave Ste B, Tahlequah, OK 74464-5439 | 2014-04-10 |
| 1740540509 | Hatfield Family Eye Care, Pllc | Optometrist | 3040 S Muskogee Ave, Suite 109, Tahlequah, OK 74464-5481 | 2012-05-25 |
| 1225301443 | Michael William Gaydos | Optometrist | 14140 N Mandy Rd, Tahlequah, OK 74464-0658 | 2012-02-18 |
| 1790099786 | Tory L Dotson | Optometrist | 105 Mimosa Ln, Tahlequah, OK 74464-5703 | 2010-08-02 |
| Find all providers in TAHLEQUAH | ||||
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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.