Be Thou My Vision | |
111 E Broadway, Fairview, OK 73737-2124 | |
(580) 227-4878 | |
(580) 227-4666 |
Full Name | Be Thou My Vision |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 111 E Broadway, Fairview, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225183957 | NPI | - | NPPES |
0246290001 | Other | OK | DME MAC C |
100766110B | Medicaid | OK | |
DG6895 | Other | OK | RAILROAD MEDICARE |
Provider Name | Max Carlisle |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205839685 PECOS PAC ID: 3072695485 Enrollment ID: I20080124000177 |
Provider Name | Brian D Morgan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083617054 PECOS PAC ID: 0042393340 Enrollment ID: I20100817000703 |
Provider Name | Blake Carlisle |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073921524 PECOS PAC ID: 9638390826 Enrollment ID: I20141103000978 |
Provider Name | Chase D Ratzlaff |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043763436 PECOS PAC ID: 6800181850 Enrollment ID: I20160830000793 |
Mailing Address | Practice Location Address |
---|---|
Be Thou My Vision 111 E Broadway, Fairview, OK 73737-2124 Ph: (580) 227-4878 | Be Thou My Vision 111 E Broadway, Fairview, OK 73737-2124 Ph: (580) 227-4878 |
Dr. Blake Carlisle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 E Broadway, Fairview, OK 73737 Phone: 580-227-4878 Fax: 580-227-4666 | |
Mr. Max L Carlisle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 E Broadway, Fairview, OK 73737 Phone: 580-227-4878 Fax: 580-227-4666 | |
Dr. Linda G. Barton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 Cardinal Cir, Fairview, OK 73737 Phone: 580-227-2090 |