OKLAHOMA MEDICAL EYE GROUP (NPI# 1902283229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902283229 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA MEDICAL EYE GROUP |
| Practice Address |
244 S. Gateway Place Suite 401 Jenks OK 74037 |
| Practice Telephone | 9187472020 |
| Practice Fax Number | 9187472056 |
| Mailing Telephone | 9187472020 |
| Mailing Fax Number | 9187472056 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | JASON ELLEN (OWNER) |
| Authorized Official Telephone | 9187472020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | OK | Allopathic & Osteopathic Physicians |
| Street Address |
244 S. GATEWAY PLACE SUITE 401 |
| City | JENKS |
| State | OK |
| Zip Code | 74037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405928 | Jason Lee Ellen | Optometrist | 244 S. Gateway Place, Suite 401, Jenks, OK 74037 | 2005-05-24 |
| 1801162433 | Joshua Burke | Ophthalmology | 244 S. Gateway Place, Suite 401, Jenks, OK 74037 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| 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 |
|---|---|---|---|---|
| 1366757387 | Michael Chad Chamberlain | Ophthalmology | 244 S. Gateway Pl., Suite 401, Jenks, OK 74037 | 2010-08-13 |
| 1801162433 | Joshua Burke | Ophthalmology | 244 S. Gateway Place, Suite 401, Jenks, OK 74037 | 2012-03-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.