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ETHAN DAVID WOHLGEMUTH OD
NPI 1104506419
Optometrist in Tahlequah, OK

Active since July 20, 2023
1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 444-4031 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan David Wohlgemuth Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN DAVID WOHLGEMUTH OD (NPI 1104506419) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (3249) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104506419
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameETHAN DAVID WOHLGEMUTHCredential: OD
Location Address1001 N GRAND AVETahlequah, OK 74464-7017
Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 444-4031
Phone(918) 444-4031
Sole ProprietorNo
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1104506419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 3249
Definition
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.
1001 N GRAND AVE, Tahlequah, OK 74464
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Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services44 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
29 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
17 services17 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
14 services14 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELE BITHER-MARSHALL OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. RODNEY BENDURE OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. MEGAN J CHEE O.D.
Optometrist
1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4031
DR. LATRICIA PACK OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. LAURA LAI MING CHAN OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4000
HANNAH MUNYAN SIKES OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4007
DR. RIYAD KHAMIS O.D
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 822-1299
MR. CEDRICK MAH OD
Optometrist (Low Vision Rehabilitation)
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Wohlgemuth's NPI number?

The NPI number for Ethan Wohlgemuth is 1104506419. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Ethan Wohlgemuth located?

Ethan Wohlgemuth practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 444-4031.

What is Ethan Wohlgemuth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Ethan Wohlgemuth was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.