Kyle Glenn Henderson (NPI# 1780069609, PAC ID# 4082929534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1780069609 |
| PAC ID by PECOS | 4082929534 |
| Professional Enrollment ID | I20150813010021 |
| Full Name | Kyle Glenn Henderson |
| Organization Legal Name | EYE ASSOCIATES OF OKLAHOMA PLLC |
| Address |
1455 S Douglas Blvd Suite D Midwest City OK 73130-5269 |
| Phone Number | 4057334545 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173522596 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 | 4057334545 | EYE ASSOCIATES OF OKLAHOMA PLLC |
| Organization Legal Name | EYE ASSOCIATES OF OKLAHOMA PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Martin Jones | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Elizabeth L Burkhart | Optometry | Eye Associates of Oklahoma Pllc | 2909 S Telephone Rd, Eye Associates of Oklahoma, Moore, OK 73160-2937 |
| Taran L Lasater | Optometry | Eye Associates of Oklahoma Pllc | 2909 S Telephone Rd, Eye Associates of Oklahoma, Moore, OK 73160-2937 |
| Darrell J Pickard | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Natalie Marie Mccord | Optometry | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Cristopher Ashley Thompson | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Michael A Wiles | Optometry | Eye Associates of Oklahoma Pllc | 2909 S Telephone Rd, Eye Associates of Oklahoma, Moore, OK 73160-2937 |
| Jay Elton Leemaster | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Richard Randall Robinson | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Midwest City, OK 73130-5269 |
| Street Address |
1455 S DOUGLAS BLVD SUITE D |
| City | MIDWEST CITY |
| State | OK |
| Zip | 73130-5269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Martin Jones | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Darrell J Pickard | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Natalie Marie Mccord | Optometry | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Cristopher Ashley Thompson | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Jay Elton Leemaster | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5269 |
| Richard Randall Robinson | Ophthalmology | Eye Associates of Oklahoma Pllc | 1455 S Douglas Blvd, Midwest City, OK 73130-5269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg S Govett | Otolaryngology | 1201 S Post Rd, Midwest City, OK 73130-2457 | |
| Kandy M Brown | Nurse Practitioner | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Bereket Alemu | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Samson M Ambaw | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Wudeneh Zewdie | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Brandon J Cox | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Aaron David Crespo | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Dick Stewart | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Laurie K Cain | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Allison Marie Thomas | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Find all physicians in zip 73130 | |||
| City | MIDWEST CITY |
| Zip Code | 73130 |
| Specialty | OPTOMETRY |
| City + Specialty | MIDWEST CITY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.