Dr Marshall R Gleckler, O D | |
100 E 45th St, Shawnee, OK 74804-1439 | |
(405) 275-7676 | |
(405) 275-6837 |
Full Name | Dr Marshall R Gleckler |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 100 E 45th St, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235195975 | NPI | - | NPPES |
100761410A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 866 (Oklahoma) | Primary |
Provider Name | Citizen Potawatomi Nation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881981744 PECOS PAC ID: 3375511488 Enrollment ID: O20140123000876 |
Mailing Address | Practice Location Address |
---|---|
Dr Marshall R Gleckler, O D 100 E 45th St, Shawnee, OK 74804-1439 Ph: (405) 275-7676 | Dr Marshall R Gleckler, O D 100 E 45th St, Shawnee, OK 74804-1439 Ph: (405) 275-7676 |
Jordan Heath Fleming, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2307 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-273-5236 Fax: 405-878-4835 | |
Shawnee Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 100 E 45th St, Shawnee, OK 74804 Phone: 405-275-7676 Fax: 405-275-6837 | |
Jordan Scott Ewert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2109 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-2020 Fax: 405-275-4129 | |
Michael Brian Watters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 N Harrison, Shawnee, OK 74804 Phone: 405-273-7075 Fax: 405-273-7405 | |
John D Kastl, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4901 N Kickapoo Ave, Suite 1626, Shawnee, OK 74804 Phone: 405-273-5014 Fax: 405-273-5014 | |
Michael Watters Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2020 N Harrison, Shawnee, OK 74804 Phone: 405-273-7075 Fax: 405-273-7405 |