Active NPI
Tabor Eye Clinic, LLC
- Optometrist
- Davis, OK
National Provider Identifier
1306467618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TABOR EYE CLINIC, LLC
- Practice address
- 119 W Main St
Davis, OK 73030-1747 - Phone
- (580) 369-3937
- NPI assigned
- Apr 28, 2020
- Last updated
- May 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Tabor
- Title
- Office Manager
- Phone
- (580) 369-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
119 W Main St
Davis, OK 73030-1747
Mailing address
119 W Main St
Davis, OK 73030-1747
Phone (580) 369-3937
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tabor Eye Clinic | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
119 W Main St
Davis, OK 73030
Phone (580) 369-3937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1306467618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W MAIN ST",
"city": "DAVIS",
"state": "OK",
"postal_code": "730301747",
"telephone_number": "580-369-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W MAIN ST",
"city": "DAVIS",
"state": "OK",
"postal_code": "730301747",
"telephone_number": "580-369-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TABOR EYE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-28",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "TABOR",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "580-369-3937"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.