John R Diver (NPI# 1336586122, PAC ID# 7810124864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1336586122 |
| PAC ID by PECOS | 7810124864 |
| Professional Enrollment ID | I20131218001077 |
| Full Name | John R Diver |
| Organization Legal Name | PEDIATRIC OPHTHALMOLOGY INC. |
| Address |
4606 E 67th St Suite 400 Tulsa OK 74136-4950 |
| Phone Number | 9184812796 |
| Gender | M |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3577592682 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 | 9184812796 | PEDIATRIC OPHTHALMOLOGY INC. |
| Organization Legal Name | PEDIATRIC OPHTHALMOLOGY INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary T Denslow | Ophthalmology | Pediatric Ophthalmology Inc. | 1704 N 9th St, Broken Arrow, OK 74012-8283 |
| Andrea Nichole Briggs | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| M. Said Sadeghi | Ophthalmology | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Megan Schmoker | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Street Address |
4606 E 67TH ST SUITE 400 |
| City | TULSA |
| State | OK |
| Zip | 74136-4950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Nichole Briggs | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| M. Said Sadeghi | Ophthalmology | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Megan Schmoker | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar J Kranau | Psychologist, Clinical | 6216 S Lewis Ave, Suite 164, Tulsa, OK 74136-1017 | |
| Monica Waukea Hamer | Clinical Social Worker | 6216 S Lewis Ave, Suite 103, Tulsa, OK 74136-1017 | |
| Andrea Byers | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Janine Krause | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kristine G Siegenthaler | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kelli Dawn Kelley | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Samantha R Cannon | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Amy E Kroll | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Beverly P Rice | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Sally Townsend-wellons | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Find all physicians in zip 74136 | |||
| City | TULSA |
| Zip Code | 74136 |
| Specialty | OPTOMETRY |
| City + Specialty | TULSA + 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.