THOMAS DEAN BLUE (NPI# 1972825412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972825412 |
| Entity Type | Organization |
| Organization Name | THOMAS DEAN BLUE |
| Other Organization Name | THOMAS BLUE, O.D. |
| Practice Address |
5113 A S.e 15th St. Del City OK 73115 |
| Practice Telephone | 4056778831 |
| Practice Fax Number | 4056778865 |
| Mailing Telephone | 4056778831 |
| Mailing Fax Number | 4056778865 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | DR. THOMAS DEAN BLUE (OWNER) |
| Authorized Official Telephone | 4056778831 |
| Authorized Official Credential | O.D. |
| 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 | 100765960A | 05 | |
| OK | 200077190A | 05 | |
| RAILROAD MEDICARE | 540012140 | 01 | |
| RAILROAD MEDICARE | DS4938 | 01 |
| Other Name | Type Code |
|---|---|
| Thomas Blue, O.D. | Doing Business As Name - Organization |
| Street Address |
5113 A S.E 15TH ST. |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| 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 |
|---|---|---|---|---|
| 1083743983 | Thomas Blue Eyecare Pllc | Optometrist | 5113 Se 15th St, Del City, OK 73115-3952 | 2007-03-05 |
| 1548258767 | Thomas Dean Blue | Optometrist | 4650 Se 15th St, Del City, OK 73115-3008 | 2005-10-11 |
| 1174976591 | Alichia Cox | Optometrist | 4650 Se 15th St, Del City, OK 73115-3008 | 2016-07-20 |
| 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.