DR. SUSAN A VAUGHAN (NPI# 1124065479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124065479 |
Entity Type | Individual |
Full Name | DR. SUSAN A VAUGHAN |
Credential | O.D. |
Practice Address |
820 Stateline Rd Colcord OK 74338-1348 |
Practice Telephone | 9184225811 |
Practice Fax Number | 9184225709 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2014-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 2405 | AR | Eye and Vision Services Providers |
Y | 152W00000X | Optometrist | 2026 | OK | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100764550A | 05 | |
OK | CIGNA GOVERNEMENT SERVICES | 6928350001 | 01 |
AR | 117841722 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275684946 | Susan Carole Vaughan | Psychiatry & Neurology | 25 W 81st St, Suite 1c, New York, NY 10024-6023 | 2007-01-16 |
1831148709 | Susan Marie Vaughan | Psychologist | 1825 E Northern Ave, Suite 215, Phoenix, AZ 85020-3940 | 2006-05-09 |
1093964801 | Susan S. Vaughan | Nurse Practitioner | 3001 Lauderdale Dr, Richmond, VA 23233-7800 | 2008-09-17 |
1609076363 | Susan M Vaughan | Psychiatry & Neurology | 908 N Elm St, Ste 110, Hinsdale, IL 60521-3635 | 2007-07-20 |
Street Address |
820 STATELINE RD |
City | COLCORD |
State | OK |
Zip Code | 74338-1348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487958492 | My Family Eyecare, Ltd., P.C. | Optometrist | 820 Stateline Rd, Colcord, OK 74338-1348 | 2011-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750945903 | Jennifer L Mitchell | Registered Nurse | 644 State Line Rd, Colcord, OK 74338 | 2019-04-23 |
1780739011 | Colcord Public Schools | Local Education Agency (LEA) | 433 South Larmon St, Colcord, OK 74338 | 2007-01-25 |
1396841094 | Quail Ridge Living Center Inc | Skilled Nursing Facility | 564 State Line Rd, Colcord, OK 74338 | 2006-09-16 |
1457839490 | Michele Tobey | Nurse Practitioner | 2230 Highway 412, Colcord, OK 74338-1308 | 2018-08-01 |
1417248246 | Sequoyah Living Centers, Inc. | Assisted Living Facility | 434 Stateline Rd, Colcord, OK 74338-1340 | 2011-04-27 |
1508893546 | John Douglas Smiley | Chiropractor | 768 Stateline Rd, Colcord, OK 74338-1346 | 2006-06-26 |
1164857025 | A Voice for Children | Community/Behavioral Health | 802 Stateline Rd, Colcord, OK 74338-1348 | 2013-09-11 |
1811293699 | Deborah J Harris | Counselor | 820 Stateline Rd Ste B, Colcord, OK 74338-1348 | 2011-01-27 |
1982978623 | New Creation Counseling Center | Community/Behavioral Health | 820 Stateline Rd Ste B, Colcord, OK 74338-1348 | 2012-02-27 |
1912531344 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 3186 W Highway 412, West Siloam Springs, OK 74338-1356 | 2020-02-25 |
Find all providers in zip 74338 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710406863 | Caleen Burke | Optometrist | 24635 County Road 556, Colcord, OK 74338-3248 | 2017-09-10 |
1487958492 | My Family Eyecare, Ltd., P.C. | Optometrist | 820 Stateline Rd, Colcord, OK 74338-1348 | 2011-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
1609475540 | Mel Vision LLC | Optometrist | 6310 N May Ave, Oklahoma City, OK 73112-4298 | 2020-10-21 |
1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
1770190779 | Nate Richard Castillo | Optometrist | 2625 Cambridge Cir, Tahlequah, OK 74464-4690 | 2020-09-24 |
1427663731 | Kathryn Elizabeth Kubiak | Optometrist | 1811 W Grant Ave, Pauls Valley, OK 73075-9202 | 2020-09-14 |
1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
1588273080 | Nattali Nicole Masson | Optometrist | 1400 E Wade Watts Ave, Mcalester, OK 74501-5652 | 2020-07-30 |
1225647415 | Legacy Eye Care Pllc | Optometrist | 1207 Cornwell Dr, Yukon, OK 73099-4633 | 2020-07-24 |
1285252213 | Mid-del Vision Source Pllc | Optometrist | 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 | 2020-07-07 |
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.