TRIAD EYE MEDICAL CLINIC AND CATARACT INSTITUTE PLLC (NPI# 1912323247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912323247 |
| Entity Type | Organization |
| Organization Name | TRIAD EYE MEDICAL CLINIC AND CATARACT INSTITUTE PLLC |
| Practice Address |
63223 E 290 Rd Grove OK 74344-7552 |
| Mailing Address |
6140 S Memorial Dr Tulsa OK 74133-1933 |
| Practice Telephone | 9187863931 |
| Practice Fax Number | 9187877940 |
| Mailing Telephone | 9182522020 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | DR. RYAN P CONLEY (OWNER) |
| Authorized Official Telephone | 9182522020 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4394 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
63223 E 290 RD |
| City | GROVE |
| State | OK |
| Zip Code | 74344-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942248323 | Dawn Pewitt | Optometrist | 63223 E 290 Rd, Grove, OK 74344-7552 | 2006-06-04 |
| 1083030597 | Triad Surgery Center, LLC | Clinic/Center | 63223 E 290 Rd, Grove, OK 74344-7552 | 2014-03-07 |
| 1275665911 | Oklahoma Cataract and Laser Center | Clinic/Center | 63223 E 290 Rd, Grove, OK 74344-7552 | 2007-03-09 |
| 1710046032 | Thomas O Nicklas | Ophthalmology | 63223 E 290 Rd, Grove, OK 74344-7552 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| 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 |
|---|---|---|---|---|
| 1710046032 | Thomas O Nicklas | Ophthalmology | 63223 E 290 Rd, Grove, OK 74344-7552 | 2006-12-06 |
| 1457373466 | Kevin Keith Toller | Ophthalmology | 1120 Neo Loop, Grove, OK 74344 | 2006-07-25 |
| 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.