Dr Lisa Marie Kedzuf-mcginnis, OD | |
107 S Broadway St, Cleveland, OK 74020-4614 | |
(918) 358-2245 | |
Not Available |
Full Name | Dr Lisa Marie Kedzuf-mcginnis |
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Gender | Female |
Speciality | Optometrist |
Location | 107 S Broadway St, Cleveland, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134216609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2477 (Oklahoma) | Primary |
Provider Name | Kedzymac Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376272369 PECOS PAC ID: 5890175798 Enrollment ID: O20220709000675 |
Mailing Address | Practice Location Address |
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Dr Lisa Marie Kedzuf-mcginnis, OD 9318 Scarlet Oak Dr, Sand Springs, OK 74063-3901 Ph: (918) 520-4344 | Dr Lisa Marie Kedzuf-mcginnis, OD 107 S Broadway St, Cleveland, OK 74020-4614 Ph: (918) 358-2245 |
Cleveland Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 107 S Broadway St, Cleveland, OK 74020 Phone: 918-385-2245 | |
Dr. Gregory A. Fielding , P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 107 S Broadway St, Cleveland, OK 74020 Phone: 918-358-2245 Fax: 918-358-5230 | |
Mr. Gregory Allen Fielding, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 South Broadway, Cleveland, OK 74020 Phone: 918-358-2245 Fax: 918-358-5230 |