GRISHAM EYE ASSOCIATES PC (NPI# 1710094149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710094149 |
| Entity Type | Organization |
| Organization Name | GRISHAM EYE ASSOCIATES PC |
| Other Organization Name | GRISHAM EYE SURGERY CENTER |
| Practice Address |
3615 Se Kentucky St Bartlesville OK 74006-2324 |
| Practice Telephone | 9183332020 |
| Practice Fax Number | 9183353253 |
| Mailing Telephone | 9183332020 |
| Mailing Fax Number | 9183353253 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. JEFFREY WILLIAM GRISHAM (PRESIDENT) |
| Authorized Official Telephone | 9183332020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
0039 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100740380B | 05 |
| Other Name | Type Code |
|---|---|
| GRISHAM EYE SURGERY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265546733 | Grisham Eye Associates PC | Ophthalmology | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 | 2006-08-19 |
| Street Address |
3615 SE KENTUCKY ST |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598011 | Jeffrey William Grisham | Ophthalmology | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 | 2005-06-15 |
| 1811329998 | Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 | 2013-07-31 |
| 1265546733 | Grisham Eye Associates PC | Ophthalmology | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 | 2006-08-19 |
| 1831161538 | Jane E Keith | Registered Nurse | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 | 2006-02-06 |
| 1679578488 | Richard St Clair Grisham | Ophthalmology | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 | 2005-06-17 |
| 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 Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093723249 | Holley Vision Cataract & Lasik Institute | Clinic/Center | 1323 E 71st St, Suite 220, Tulsa, OK 74136-5045 | 2006-08-04 |
| 1487603395 | Oklahoma Eye Care Associates,p.l.l.c. | Clinic/Center | 2150 S Douglas Blvd, Sute C, Midwest City, OK 73130-6200 | 2006-05-08 |
| 1508316662 | The Total Vision Institute LLC | Clinic/Center | 11308 N Pennsylvania Ave, Oklahoma City, OK 73120-7752 | 2016-10-12 |
| 1205386828 | The Lasik Vision Institute LLC | Clinic/Center | 6401 Nw Expressway, Suite 106, Oklahoma City, OK 73132-5170 | 2016-10-06 |
| 1831645696 | The Cataract Vision Institute LLC | Clinic/Center | 6401 Nw Expressway, Suite 106, Oklahoma City, OK 73132-5170 | 2016-08-31 |
| 1285189316 | The Cataract Vision Institute LLC | Clinic/Center | 4815 S Harvard Ave, Suite 128, Tulsa, OK 74135-3055 | 2016-08-18 |
| 1801240288 | The Lasik Vision Institute LLC | Clinic/Center | 4815 S Harvard Ave, Suite 128, Tulsa, OK 74135-3055 | 2016-04-21 |
| 1255655726 | Texoma Regional Eye Institute, LLC | Clinic/Center | 5389 N 1st Ave, Durant, OK 74701-2599 | 2010-03-26 |
| 1275665911 | Oklahoma Cataract and Laser Center | Clinic/Center | 63223 E 290 Rd, Grove, OK 74344-7552 | 2007-03-09 |
| 1295766202 | Mcgee Eye Surgery Center LLC | Clinic/Center | 1000 N Lincoln Blvd, Suite 150, Oklahoma City, OK 73104-3252 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
Please comment or provide details below to improve the information on GRISHAM EYE ASSOCIATES PC.
| 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.