SENIORVISION OF OKLAHOMA LLC (NPI# 1861968992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861968992 |
| Entity Type | Organization |
| Organization Name | SENIORVISION OF OKLAHOMA LLC |
| Practice Address |
10107 S Garnett Rd Broken Arrow OK 74011-1118 |
| Mailing Address |
11063d S Memorial Dr # 515 Tulsa OK 74133-7362 |
| Practice Telephone | 9182520590 |
| Practice Fax Number | 9182520591 |
| Mailing Telephone | 9182984969 |
| Mailing Fax Number | 9182984594 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | NANCY KOLKER (VICE PRESIDENT) |
| Authorized Official Telephone | 9182984969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100765700A | 05 |
| Street Address |
10107 S GARNETT RD |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063630671 | Broken Arrow, LLC | Assisted Living Facility | 10107 S Garnett Rd, Broken Arrow, OK 74011-1118 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| 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 |
|---|---|---|---|---|
| 1992330534 | Janet Poole Naguib | Optometrist | 4008 S Elm Pl Ste A, Broken Arrow, OK 74011-2021 | 2020-03-04 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1942605324 | Alliance Vision Services Pllc | Optometrist | 2816 W Imperial St, Broken Arrow, OK 74011-6461 | 2014-10-28 |
| 1649685488 | Anji Brassfield O.d. P.C. | Optometrist | 307 W Washington St, Broken Arrow, OK 74012-6448 | 2014-06-30 |
| 1245643881 | Njoy Tulsa LLC | Optometrist | 1601 S Eucalyptus Ave, Suite 200, Broken Arrow, OK 74012-6053 | 2014-06-10 |
| 1447671664 | Ba Eye Site, Pllc | Optometrist | 2500 W New Orleans St, Broken Arrow, OK 74011-1574 | 2013-12-16 |
| 1508190893 | Scott M Hibbets Od PC Corp | Optometrist | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | 2009-09-20 |
| 1932355112 | Anderson Eyecare PC | Optometrist | 2001 S Elm Pl Ste B, Broken Arrow, OK 74012-7025 | 2008-08-07 |
| 1902065972 | Brad Wells Od PC Inc | Optometrist | 2142 W Detroit St, Broken Arrow, OK 74012 | 2008-06-05 |
| 1811186976 | Stacey Murrell, Od PC Inc | Optometrist | 1406 S Aspen Ave, Broken Arrow, OK 74012-4807 | 2007-10-15 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
Please comment or provide details below to improve the information on SENIORVISION OF OKLAHOMA LLC.
| 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.