Advanced Eye Care, Pllc | |
311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5160 | |
(918) 427-3937 | |
(918) 427-8882 |
Full Name | Advanced Eye Care, Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 311 E Ray Fine Blvd, Roland, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1154655280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2597 (Oklahoma) | Primary |
Provider Name | Kimberley A Brunk |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316178155 PECOS PAC ID: 5496891988 Enrollment ID: I20091014000512 |
Provider Name | Maygen J Enochs-wilson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255826459 PECOS PAC ID: 7911257811 Enrollment ID: I20180913000958 |
Mailing Address | Practice Location Address |
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Advanced Eye Care, Pllc Po Box 1075, Roland, OK 74954-1075 Ph: (918) 427-3937 | Advanced Eye Care, Pllc 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5160 Ph: (918) 427-3937 |
Mrs. Maygen J Enochs-wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 311 E Ray Fine Blvd Ste 5, Roland, OK 74954 Phone: 918-427-3937 Fax: 918-427-8882 | |
Dr. Kimberley Ann Brunk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 Phone: 918-427-3937 |