DR. JOHN D EDWARDS (NPI# 1821059940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821059940 |
| Entity Type | Individual |
| Full Name | DR. JOHN D EDWARDS |
| Credential | O.D. |
| Practice Address |
101 N Randall Ave Elk City OK 73644-5231 |
| Mailing Address |
Po Box 624 Elk City OK 73648-0624 |
| Practice Telephone | 5802251980 |
| Practice Fax Number | 5802258648 |
| Mailing Telephone | 5802251980 |
| Mailing Fax Number | 5802258648 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 958 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD PROVIDER # | 410027999 | 01 |
| OK | 100759880B | 05 | |
| OK | DEPT OF REHABILITATIVE SE | 731122948002 | 01 |
| OK | BLUE CROSS BLUE SHIELD | 731122948002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861817959 | John Mark Edwards | Counselor | 4445 Jay St Apt 202, Wheat Ridge, CO 80033-3795 | 2014-02-26 |
| 1740451970 | John Joseph Edwards | Psychologist | 215 Beech Tree Holw, Sugar Hill, GA 30518-8005 | 2008-03-15 |
| 1023131372 | John O Edwards | Counselor | 205 Powell Pl, Brentwood, TN 37027-7522 | 2007-04-09 |
| 1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
| 1093842833 | John W. Edwards | Chiropractor | 3105 Alcoa Hwy Ste H, Knoxville, TN 37920-4783 | 2007-02-28 |
| 1922188911 | John Odis Edwards Jr. | Physical Therapist | 1300 Corporation Pkwy, Raleigh, NC 27610-0132 | 2006-10-16 |
| 1699788075 | John David Edwards | Pharmacist | 2448 Us Highway 60 E, Henderson, KY 42420-2509 | 2006-08-15 |
| 1336158294 | John D Edwards | Otolaryngology | 22999 Highway 59 N Ste 400, Kingwood, TX 77339-4441 | 2006-08-07 |
| 1649299199 | John Edwards | Physical Medicine & Rehabilitation | 215 N. Fresno St., 370, Fresno, CA 93701 | 2006-07-18 |
| 1487692794 | John Randall Edwards | Pediatrics | 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 | 2006-06-02 |
| Street Address |
101 N RANDALL AVE |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-5231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225369267 | Drs. Ford and Edwards, Pllc | Optometrist | 101 N Randall Ave, Elk City, OK 73644-5231 | 2010-01-14 |
| 1124036389 | Dr. Gary L. Ford & Dr. John D. Edwards | Optometrist | 101 N Randall Ave, Elk City, OK 73644-5231 | 2006-08-04 |
| 1194786228 | Gary L Ford | Optometrist | 101 N Randall Ave, Elk City, OK 73644-5231 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| 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 |
|---|---|---|---|---|
| 1871559575 | Lisa Ann Walker | Optometrist | 106 N Main St, Elk City, OK 73644-4752 | 2006-04-22 |
| 1083067508 | Nok Ken Wan | Optometrist | 1710 W 3rd St, Elk City, OK 73644-5159 | 2016-07-20 |
| 1083067490 | Jessica Greene | Optometrist | 800 N Main St, Elk City, OK 73644-3414 | 2016-07-20 |
| 1942625223 | Elk City Eye Care Pllc | Optometrist | 100 Access Rd, Elk City, OK 73644-2929 | 2014-02-24 |
| 1780011734 | Oklahoma Eye Institute | Optometrist | 1020 N Main St, Elk City, OK 73644-2831 | 2013-10-07 |
| 1740617778 | Linda Lea Ann Ray | Optometrist | 100 Access Rd, Elk City, OK 73644-2929 | 2013-10-04 |
| 1972852820 | Colby D Roberts | Optometrist | 800 N Main St, Elk City, OK 73644-3414 | 2012-09-06 |
| 1265780761 | Eyecare of Western Oklahoma PC | Optometrist | 800 N Main St, Elk City, OK 73644-3414 | 2012-08-15 |
| 1225369267 | Drs. Ford and Edwards, Pllc | Optometrist | 101 N Randall Ave, Elk City, OK 73644-5231 | 2010-01-14 |
| 1831383793 | Doctors Bintz & Ellis | Optometrist | 901 N Main St, Elk City, OK 73644-2828 | 2007-09-04 |
| Find all providers in ELK CITY | ||||
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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.