OAK TREE EYE CLINIC 2, INC


Address: 952 Fairview Ave Ste 1, Bowling Green, KY 42101-4943
Phone: 2707812220

OAK TREE EYE CLINIC 2, INC (NPI# 1912541087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912541087
Entity Type Organization
Organization Name OAK TREE EYE CLINIC 2, INC
Practice Address 952 Fairview Ave Ste 1
Bowling Green
KY 42101-4943
Mailing Address 1601 W Everly Bros Blvd
Central City
KY 42330-2707
Practice Telephone 2707812220
Practice Fax Number 2707812155
Mailing Telephone 2707544515
Mailing Fax Number 2707542547
Enumeration Date 2019-11-01
Last Update Date 2019-11-01
Authorized Official Name DR. TYLER NEAL MAYES (OWNER)
Authorized Official Telephone 2708202005
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
Mayes and Ware Eyecare Doing Business As Name - Organization

Office Location

Street Address 952 FAIRVIEW AVE STE 1
City BOWLING GREEN
State KY
Zip Code 42101-4943

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1598304180 Elizabeth Page Appling Nurse Practitioner 1681 Normal Dr., Bowling Green, KY 42101 2019-12-30
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1205364411 Amanda Katherin Walden Dentist 725 A Kenton Street, Bowling Green, KY 42101 2017-06-01
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285199562 Dhp Retail Entity, LLC Optometrist 1680 Campbell Ln Ste 104, Bowling Green, KY 42104-1062 2019-01-31
1609305580 Jackelleyn Renee Mudd Optometrist 1310 S Business 61, Bowling Green, MO 63334-5221 2017-06-05
1366979528 Laura Elizabeth Compton Optometrist 335 New Towne Drive, Bowling Green, KY 42103 2017-05-18
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1548312481 Robert Burlien Duvall Optometrist 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 2007-01-18
1871645614 Darrell L Tade Optometrist 760 Campbell Ln Ste 120, Bowling Green, KY 42104-1085 2007-01-18
1356411623 Ozzie Lee Avery Jr. Optometrist 738 Chestnut Street, Bowling Green, KY 42101 2006-11-08
1184709636 Russell King Heltsley IIi Optometrist 2425 Scottsville Rd, Suite #114, Bowling Green, KY 42104-4457 2006-10-25
1386740314 David Herman Scherreik Optometrist 128 S Prospect St, Bowling Green, OH 43402-2904 2006-09-16
1245333715 John T Archer & Associates Inc Optometrist 1222 Ridgewood Dr, Bowling Green, OH 43402-2664 2006-09-07
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Competitor

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City BOWLING GREEN
Zip Code 42101

Improve Information

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Dataset Information

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.

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