JEFFREY P WICK (NPI# 1912978453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912978453 |
| Entity Type | Individual |
| Full Name | JEFFREY P WICK |
| Credential | M.D. |
| Practice Address |
2440 E 5th St Tyler TX 75701-3592 |
| Practice Telephone | 9035950500 |
| Practice Fax Number | 9035952153 |
| Mailing Telephone | 9035950500 |
| Mailing Fax Number | 9035952153 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | L6718 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881011153 | Jeffrey Wick | Pharmacist | 501 Highway 10 S, Saint Cloud, MN 56304-1250 | 2014-03-25 |
| 1891795092 | Jeffrey Stephen Wick | Physical Medicine & Rehabilitation | 5001 Commerce Dr, Bakersfield, CA 93309-0648 | 2005-07-28 |
| 1295959633 | Jeffrey David Wick | Counselor | 500 West Hospital Rd, French Camp, CA 95231 | 2007-04-13 |
| Street Address |
2440 E 5TH ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465704 | Garold Lewis Timmons | Optometrist | 2440 E 5th St, Tyler, TX 75701-3525 | 2005-08-24 |
| 1649612375 | Briteny Brunner Allison | Optometrist | 2440 E 5th St, Tyler, TX 75701-3525 | 2013-07-23 |
| 1407172828 | Austin Thomas Lash | Ophthalmology | 2440 E 5th St, Tyler, TX 75701-3525 | 2010-04-09 |
| 1497806251 | Gregory D Kiblinger | Ophthalmology | 2440 E 5th St, Tyler, TX 75701-3525 | 2007-01-16 |
| 1912923590 | East Texas Eye Care Associates LLC | Technician/Technologist | 2440 E 5th St, Tyler, TX 75701-3525 | 2006-07-15 |
| 1922079466 | Jon T Schreiber | Ophthalmology | 2440 E 5th St, Tyler, TX 75701-3592 | 2006-02-01 |
| 1427029024 | East Texas Eye Care Associates LLC | Ophthalmology | 2440 E 5th St, Tyler, TX 75701-3592 | 2006-01-31 |
| 1144291717 | John C Thigpen | Optometrist | 2440 E 5th St, Tyler, TX 75701-3592 | 2006-01-31 |
| 1164493730 | Carey G Prater | Optometrist | 2440 E 5th St, Tyler, TX 75701-3592 | 2006-01-31 |
| 1497726103 | Thomas Bochow | Ophthalmology | 2440 E 5th St, Tyler, TX 75701-3592 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
|---|---|---|---|---|
| 1720199599 | Harshivinderjit Singh Bains | Ophthalmology | 1519 E Front St, Tyler, TX 75702-8504 | 2006-08-31 |
| 1669443370 | Leo W Mack Jr. | Ophthalmology | 5791 New Copeland Rd, Tyler, TX 75703-3905 | 2006-01-30 |
| 1326020736 | Michael C. Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701 | 2005-11-19 |
| 1225037955 | Dehaven Eye Clinic Pa | Ophthalmology | 1424 E Front St, Tyler, TX 75702-8501 | 2005-07-15 |
| 1477550184 | Thomas J. Dehaven | Ophthalmology | 1424 East Front, Tyler, TX 75702-8501 | 2005-07-07 |
| 1225035827 | Ming Lu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2005-06-28 |
| 1326041377 | Charles Lawson Heaton | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-23 |
| 1376069146 | Michael C Ford Md, Pllc | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | 2017-08-14 |
| 1306289186 | Jeremy Russell Cefalu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701 | 2013-04-11 |
| 1740501972 | Jordan David Spindle | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2010-06-22 |
| Find all providers in TYLER | ||||
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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.