MID-DEL VISION SOURCE PLLC (NPI# 1285252213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285252213 |
| Entity Type | Organization |
| Organization Name | MID-DEL VISION SOURCE PLLC |
| Practice Address |
1 Ne 2nd St Ste 104 Oklahoma City OK 73104-2224 |
| Mailing Address |
2008 S Post Rd Midwest City OK 73130-6610 |
| Practice Telephone | 4057322277 |
| Practice Fax Number | 4057374776 |
| Mailing Telephone | 4057322277 |
| Mailing Fax Number | 4057374776 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | CYNTHIA BACON (FINANCE DIRECTOR) |
| Authorized Official Telephone | 4057322277 |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-DEL VISION SOURCE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| The Oculist by Vision Source | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578907598 | Mid-del Vision Source Pllc | Eyewear Supplier (Equipment, not the service) | 5113 Se 15th St, Suite A, Del City, OK 73115-3952 | 2013-04-21 |
| Street Address |
1 NE 2ND ST STE 104 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
| 1952948614 | Hero Vision of Okc Pllc | Optometrist | 4836 Nw 23rd St, Oklahoma City, OK 73127-1809 | 2019-12-02 |
| 1285149294 | Snowden Eye Care, Pllc | Optometrist | 7200 S Penn Ave Ste D, Oklahoma City, OK 73159-3336 | 2017-12-13 |
| 1215466123 | Vantage Vision Care PC | Optometrist | 1901 Nw Expressway Ste 2058, Oklahoma City, OK 73118-9229 | 2017-06-06 |
| 1609322809 | Jai Sia Ram PC | Optometrist | 10740 South May Avenue, Suite 115, Oklahoma City, OK 73170 | 2016-08-28 |
| 1346693769 | Pritesh Patel | Optometrist | 10740 S. May Ave, Suite 115, Oklahoma City, OK 73170-5152 | 2016-07-20 |
| 1740664564 | Salwa Ghous Khan | Optometrist | 13321 N Meridian Ave Ste 110, Oklahoma City, OK 73120-8356 | 2015-07-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on MID-DEL VISION SOURCE PLLC.
| 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.