MR. PHILLIP CARL TABOR JR. (NPI# 1801095377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801095377 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP CARL TABOR JR. |
| Credential | OD |
| Practice Address |
119w Main St Davis OK 73030-1747 |
| Practice Telephone | 5803693937 |
| Mailing Telephone | 5803693937 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2870 | OK | Eye and Vision Services Providers |
| Street Address |
119W MAIN ST |
| City | DAVIS |
| State | OK |
| Zip Code | 73030-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790144160 | Our House Mhsa Inc | Community/Behavioral Health | 115 East Main, Davis, OK 73030 | 2016-02-15 |
| 1255677381 | Davis Public Schools | Local Education Agency (LEA) | 400 East Atlantic St, Davis, OK 73030 | 2012-12-18 |
| 1639462617 | Kathryn Howe | Clinic/Center | 112 East Main Suite 101, Davis, OK 73030 | 2011-05-24 |
| 1568730125 | Natalie K O'dell | Case Manager/Care Coordinator | 121 E Main St, Suite 101, Davis, OK 73030 | 2011-12-09 |
| 1629680038 | Stefanie Jane Fisher | Nurse Practitioner | 404 W Main St, Davis, OK 73030-1701 | 2020-08-18 |
| 1811506389 | Lee Sykes | Nurse Practitioner | 404 W Main St, Davis, OK 73030-1701 | 2020-07-30 |
| 1306467618 | Tabor Eye Clinic, LLC | Optometrist | 119 W Main St, Davis, OK 73030-1747 | 2020-04-28 |
| 1225643844 | Kaitlin A Hesse | Physical Therapist | 201 W Main St, Davis, OK 73030-1749 | 2020-09-10 |
| 1730606062 | Amanda Felder | Physical Therapist | 201 W Main St, Davis, OK 73030-1749 | 2017-08-28 |
| 1134478233 | Danielle Elizabeth Cox | Physical Therapist | 201 S Main Street, Davis, OK 73030-1749 | 2012-09-05 |
| Find all providers in zip 73030 | ||||
| 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 |
|---|---|---|---|---|
| 1427287598 | Alex Baker | Optometrist | 2019 Anderson Rd Ste C, Davis, CA 95616-0773 | 2009-07-09 |
| 1043492531 | Laila Niyati | Optometrist | 1321 W. Covell Blvd., Suite 120, Davis, CA 95616-5900 | 2007-11-27 |
| 1740290683 | Drs Lim and Schrader Ods | Optometrist | 1109 Kennedy Pl 1, Davis, CA 95616-1271 | 2006-08-09 |
| 1811901432 | Sara Niyati | Optometrist | 637 Eisenhower St, Davis, CA 95616-3030 | 2006-07-28 |
| 1629090659 | Dena Davidson | Optometrist | 2035 Lyndell Ter, Suite 100, Davis, CA 95616-6202 | 2006-07-25 |
| 1437125523 | Christine J.j. Chao | Optometrist | 1970 Lake Blvd, Ste 7, Davis, CA 95616-5663 | 2006-02-27 |
| 1598730731 | Jo Anne S Suzuki | Optometrist | 1111 Kennedy Pl, Suite 1, Davis, CA 95616-1266 | 2006-02-21 |
| 1689656894 | Joann Licitra Helmus | Optometrist | 353 2nd St, Davis, CA 95616-4607 | 2005-11-15 |
| 1366436917 | Dennis J Guerrieri | Optometrist | 231 C St, Davis, CA 95616-4521 | 2005-09-08 |
| 1932109410 | Wayne Charles Schrader | Optometrist | 1109 Kennedy Pl, Suite 1, Davis, CA 95616-1271 | 2005-07-27 |
| Find all providers in DAVIS | ||||
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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.