HERO VISION OF MIDWEST CITY PLLC (NPI# 1750928412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750928412 |
| Entity Type | Organization |
| Organization Name | HERO VISION OF MIDWEST CITY PLLC |
| Practice Address |
1200 S Air Depot Blvd Midwest City OK 73110-4866 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 7195761850 |
| Mailing Telephone | 7195761850 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | SHAUN URBANOZO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7195761850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Adventure Dental and Vision | Doing Business As Name - Organization |
| Street Address |
1200 S AIR DEPOT BLVD |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952358616 | John P Theobald | Dentist | 1200 S Air Depot Blvd, I, Midwest City, OK 73110-4848 | 2006-05-28 |
| 1912553215 | Pediatric Dental Group II, LLC | Clinic/Center | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2019-08-13 |
| 1508411968 | Hero Dental of Oklahoma PC | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2019-08-02 |
| 1366924698 | Suneel Makineni | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2018-09-04 |
| 1235656687 | Alia Abdulhadi | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2017-08-26 |
| 1659785343 | Mehwish Nouman Jan | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2014-06-20 |
| 1639494149 | Kool Smiles Ok, PC | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2010-03-29 |
| 1407085269 | Shalini Sanku | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2009-07-14 |
| 1811022593 | Allied Physician's Group Inc PC | Durable Medical Equipment & Medical Supplies | 1200 S Air Depot Blvd, Ste P, Midwest City, OK 73110-4866 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| 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 |
|---|---|---|---|---|
| 1851646178 | Jonathan Poe | Optometrist | 2008 S Post Rd, Midwest City, OK 73130-6610 | 2012-07-24 |
| 1437213063 | Bobby Christensen | Optometrist | 2008 S. Post Road, Midwest City, OK 73130 | 2006-12-20 |
| 1386721025 | Kris L Tesio | Optometrist | 7199 Se 29th St, Suite 110-b, Midwest City, OK 73110-6003 | 2006-11-01 |
| 1437260569 | Melody Dawn Williams | Optometrist | 1029 S Post Rd, Midwest City, OK 73130-5601 | 2006-08-31 |
| 1851309751 | Scott G Mcbride | Optometrist | 2813 Parklawn Dr, Midwest City, OK 73110-4201 | 2006-08-04 |
| 1255338315 | Jack E Hopkins | Optometrist | 8121 National Ave, Ste 409, Midwest City, OK 73110-7530 | 2005-07-05 |
| 1174133474 | Elizabeth Mccrackin | Optometrist | 2008 S Post Rd, Midwest City, OK 73130-6610 | 2020-08-03 |
| 1144848177 | Sawyer Lee | Optometrist | 2008 S Post Rd, Midwest City, OK 73130-6610 | 2020-07-07 |
| 1346727864 | Natalie Marie Mccord | Optometrist | 1455 S Douglas Blvd Ste D, Midwest City, OK 73130-5269 | 2018-07-26 |
| 1023401106 | Midwest City Eye Care Associates Pllc | Optometrist | 8121 National Ave, Suite 409, Midwest City, OK 73110-7530 | 2015-03-12 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
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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.