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4720 N Classen Blvd, Oklahoma City, OK 73118-4837 | |
(405) 528-1220 | |
(405) 528-0279 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 4720 N Classen Blvd, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871736074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jay W Sparks |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356355721 PECOS PAC ID: 2567466840 Enrollment ID: I20060828000533 |
Provider Name | Jason D Pickard |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467558064 PECOS PAC ID: 8628148087 Enrollment ID: I20080528000660 |
Provider Name | Chadwick Branch |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962810085 PECOS PAC ID: 1355664301 Enrollment ID: I20141223000547 |
Provider Name | Sarah Meinders Taylor |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790411007 PECOS PAC ID: 6901272319 Enrollment ID: I20221026000061 |
Mailing Address | Practice Location Address |
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4720 N Classen Blvd, Oklahoma City, OK 73118-4837 Ph: (405) 528-1220 | 4720 N Classen Blvd, Oklahoma City, OK 73118-4837 Ph: (405) 528-1220 |
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312 | |
Jenna Vergeldt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017 |