MARANDA LEE EATON


Address: 1904 Se Washington Blvd, Bartlesville, OK 74006
Phone: (918) 333-6900

MARANDA LEE EATON (NPI# 1053840850) 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) 1053840850
Entity Type Individual
Full Name MARANDA LEE EATON
Credential CFM
Practice Address 1904 Se Washington Blvd
Bartlesville
OK 74006
Mailing Address 1904 Se Washington Blvd
Bartlesville
OK 74006-6736
Practice Telephone (918) 333-6900
Practice Fax Number 9183356687
Mailing Telephone 9183336900
Mailing Fax Number 9183356687
Enumeration Date 2017-06-06
Last Update Date 2017-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224900000X Mastectomy Fitter CFM02743 Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1904 SE WASHINGTON BLVD
City BARTLESVILLE
State OK
Zip Code 74006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043384902 Hanger Prosthetics & Orthotics East Inc Durable Medical Equipment & Medical Supplies 1904 Se Washington Blvd, Bartlesville, OK 74006-6736 2006-11-20
1578700217 John R Wilson Orthotist 1904 Se Washington Blvd, Bartlesville, OK 74006-6736 2009-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124646252 Ntcob LLC Family Medicine 234 Se De Bell Ave, Bartlesville, OK 74006 2020-07-06
1053936815 Priscella Ann Caron Nurse Practitioner 226 Se De Bell Ave Building B, Bartlesville, OK 74006 2020-06-08
1508390840 Megan Christopher Student in an Organized Health Care Education/Training Program 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 2017-04-13
1518339811 Dori Raycob Registered Nurse 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 2015-10-26
1023487436 Katherine Marie Anderson Nurse Practitioner 3500 Sw Frank Phillips, Bartlesville, OK 74006 2015-09-16
1033593207 Quanisha Roberson Clinical Nurse Specialist 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 2015-07-16
1588064604 Vance Wayne Blackwell Jr. Counselor 2200 Se Washinton Blvd., Bartlesville, OK 74006 2014-08-26
1619314937 Scott Ethan Sonico Dentist 1224 Se Washington Blvd, Bartlesville, OK 74006 2013-05-28
1417229485 Vernon Lee Newby Veterinarian 817 Madison Blvd., Bartlesville, OK 74006 2012-02-06
1306083720 Sherry M Wilson Counselor 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 2009-01-08
Find all providers in zip 74006

Taxonomy Information

Taxonomy Code 224900000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Mastectomy Fitter

Taxonomy Definition

An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083197206 Sandra Denise Winn Mastectomy Fitter 64594 N 2514 Road, Canton, OK 73724 2018-09-13
1194098715 Martha L Cunningham Mastectomy Fitter 7924 Chouteau Spgs Cir Rd, Lexington, OK 73051-4800 2012-02-13
1174050439 Julia Patricia Murphy I Mastectomy Fitter 2116 E 15th St, Tulsa, OK 74104-4614 2017-05-17

Competitor

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City BARTLESVILLE
Zip Code 74006

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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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