DR. EVAN LEE BRAGG (NPI# 1811058589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811058589 |
| Entity Type | Individual |
| Full Name | DR. EVAN LEE BRAGG |
| Credential | O.D. |
| Practice Address |
1010 West 3rd St Sulphur OK 73086-0499 |
| Mailing Address |
Po Box 499 Sulphur OK 73086-0499 |
| Practice Telephone | 5806222020 |
| Practice Fax Number | 5806223213 |
| Mailing Telephone | 5806222020 |
| Mailing Fax Number | 5806223213 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1100 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100765070A | 05 |
| Street Address |
1010 WEST 3RD ST |
| City | SULPHUR |
| State | OK |
| Zip Code | 73086-0499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
| 1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
| 1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
| 1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
| 1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
| 1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
| 1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
| 1588663520 | Artesian Home, Inc. | Nursing Facility/Intermediate Care Facility | 1415 W 15th St, Sulphur, OK 73086-2003 | 2005-07-20 |
| Find all providers in zip 73086 | ||||
| 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 |
|---|---|---|---|---|
| 1306484290 | Dr. Patrick Fontenot Od, LLC | Optometrist | 525 N. Cities Service Hwy Walmart Vision Center, Sulphur, LA 70663-4107 | 2019-12-11 |
| 1952690059 | Optics Unlimited | Optometrist | 2100 Maplewood Drive, Sulphur, LA 70663-6010 | 2011-03-30 |
| 1659589893 | Dr Robert Janot LLC | Optometrist | 3817 Maplewood Dr, Sulphur, LA 70663-6349 | 2007-05-20 |
| 1891841342 | Robert C Janot | Optometrist | 2245 Maplewood Dr, Sulphur, LA 70663-6011 | 2007-01-26 |
| 1689735367 | Branden Leon Dalrymple | Optometrist | 1010 W 3rd St, Sulphur, OK 73086-4801 | 2006-12-13 |
| 1760936702 | Julia Wall-hayes | Optometrist | 3817 Maplewood Dr, Sulphur, LA 70663-6349 | 2016-08-08 |
| 1184785867 | Southern Oklahoma Eye Center LLC | Optometrist | 1010 W 3rd St, Sulphur, OK 73086-4801 | 2006-12-13 |
| 1013029305 | Patrick Martin Fontenot I | Optometrist | 525 N Cities Service Hwy, Sulphur, LA 70663-4107 | 2006-08-31 |
| 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.