MR. CODY BENTON MASTERS (NPI# 1952633372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952633372 |
| Entity Type | Individual |
| Full Name | MR. CODY BENTON MASTERS |
| Credential | OPTICIAN |
| Practice Address |
920 S Bryant Ave Ste 101 Edmond OK 73034-5803 |
| Practice Telephone | 4053416588 |
| Practice Fax Number | 4053489537 |
| Mailing Telephone | 4053416588 |
| Mailing Fax Number | 4053489537 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
920 S BRYANT AVE STE 101 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705595 | Sam's East, Inc. | Technician/Technologist | 1117 W I 35 Frontage Rd, Edmond, OK 73034-7398 | 2019-11-25 |
| 1942565338 | Sam's Optical Oklahoma City | Technician/Technologist | 132 E 5th St, Edmond, OK 73034-3832 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1376064592 | Focus Optical Inc. | Technician/Technologist | 12444 Nw 10th St, Bldg H Ste 101, Oklahoma City, OK 73119 | 2017-06-28 |
| 1306234067 | Mary Tipton | Technician/Technologist | 103 W 7th Ave, Stillwater, OK 74074-4032 | 2015-01-05 |
| 1942529672 | Nu Sight Optical L.L.C. | Technician/Technologist | 1315 Gateway Plaza, Midwest City, OK 73110-4841 | 2010-05-20 |
| 1861639080 | Sam's Optical, Penn Square, LLC | Technician/Technologist | 1900 Nw Expressway Ste R1-114, Oklahoma City, OK 73118-1802 | 2009-01-09 |
| 1740453661 | Jeff's Optical Inc | Technician/Technologist | 8 S Commerce St, Ardmore, OK 73401-3925 | 2008-04-11 |
| 1386814432 | Sam's Crossroads Optical | Technician/Technologist | 1078 Crossroads Mall, Ste D, Oklahoma City, OK 73149-4202 | 2008-03-05 |
| 1841473428 | Thad E Sterling | Technician/Technologist | 205 S Perkins Rd, Stillwater, OK 74074-3651 | 2007-12-06 |
| 1255530754 | Sam J Edwards Jr. | Technician/Technologist | 1078 Crossroads Mall Ste D, Oklahoma City, OK 73149-4202 | 2007-07-13 |
| 1396943874 | Hicks Brunson Co. Inc. | Technician/Technologist | 2020 Utica Sq, Tulsa, OK 74114-1635 | 2007-07-06 |
| 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.