DR. JEAN RENEE HAUSHEER (NPI# 1861490930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861490930 |
Entity Type | Individual |
Full Name | DR. JEAN RENEE HAUSHEER |
Credential | M.D. |
Practice Address |
3201 W Gore Blvd Suite 200 Lawton OK 73505-6378 |
Mailing Address |
608 Stanton L Young Blvd Oklahoma City OK 73104-5014 |
Practice Telephone | 5802505855 |
Practice Fax Number | 5802505808 |
Mailing Telephone | 4052716060 |
Enumeration Date | 2005-07-12 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 28850 | OK | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 04-26265 | KS | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | R8E77 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200402750A | 05 |
Street Address |
3201 W GORE BLVD SUITE 200 |
City | LAWTON |
State | OK |
Zip Code | 73505-6378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144227273 | Prabhudas Khodidas Patel | Surgery | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2005-07-05 |
1245744986 | Stephanie Morris | Nurse Practitioner | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2017-11-16 |
1114466455 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2017-02-20 |
1609315308 | Comanche County Healthcare Corporation | Otolaryngology | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2017-02-15 |
1174901102 | Comanche County Healthcare Corportation | Pediatrics | 3201 W Gore Blvd, Suite G1, Lawton, OK 73505-6378 | 2015-05-11 |
1780027433 | Amber Lee Cobia | Physical Therapist | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2013-04-12 |
1891039517 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd, Suite 202, Lawton, OK 73505-6378 | 2012-11-19 |
1629328786 | Sherif Sayed Ismail Md PC | Skilled Nursing Facility | 3201 W Gore Blvd, Suite 105, Lawton, OK 73505-6378 | 2012-09-17 |
1659647501 | Comanche County Healthcare Corp | Family Medicine | 3201 W Gore Blvd, Ste 300, Lawton, OK 73505-6378 | 2012-03-26 |
1164736351 | Comanche County Healthcare Corp | Internal Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2010-07-30 |
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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 |
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Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740214279 | Joseph James Young | Ophthalmology | 4214 Sw Lee Blvd, Lawton, OK 73505-8340 | 2006-07-10 |
1316916794 | Ann A Warn | Ophthalmology | 3201 W Gore Blvd, Lawton, OK 73505-6378 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750822177 | Haoxing Jin | Ophthalmology | 608 Stanton L Young Blvd # 509, Oklahoma City, OK 73104-5014 | 2017-03-17 |
1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
1710366984 | Meredith Harrell Hartman | Ophthalmology | 3151 W Tecumseh Rd Ste 230, Norman, OK 73072-1846 | 2015-05-21 |
1154709970 | Vincent David Venincasa | Ophthalmology | 920 S Bryant Ave Ste 100, Edmond, OK 73034-5803 | 2015-05-13 |
1013256486 | Envision Medical & Surgical Eye Care PC | Ophthalmology | 4926 W Kenosha St, Broken Arrow, OK 74012-8517 | 2013-02-05 |
1457619272 | Matthew Ross Phillips | Ophthalmology | 1501 N Washington St., Durant, OK 74701 | 2012-04-30 |
1962780627 | Mary Anne Ahluwalia | Ophthalmology | 6140 S Memorial Dr Ste 220, Tulsa, OK 74133-1933 | 2011-07-29 |
1811284946 | Retina Vitreous Center, Pllc | Ophthalmology | 1008 Nw 139th Street Parkway, Edmond, OK 73013-9791 | 2011-07-10 |
1730476730 | Jared Jackson | Ophthalmology | 3431 S Boulevard Ste 105, Edmond, OK 73013-5514 | 2011-06-29 |
1912299892 | Joyce Kokatt Varkey | Ophthalmology | 3906 S. Peoria, Eye Care for Tulsa, Tulsa, OK 74105 | 2011-05-10 |
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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.