Eyecare Of Grand Lake Pllc | |
720 S Main St, Grove, OK 74344-2841 | |
(918) 791-6600 | |
Not Available |
Full Name | Eyecare Of Grand Lake Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 720 S Main St, Grove, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932774189 | NPI | - | NPPES |
200656200A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Burness R Yandell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962442848 PECOS PAC ID: 6305923897 Enrollment ID: I20080408000619 |
Provider Name | Jordan Barnwell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205389566 PECOS PAC ID: 7517253966 Enrollment ID: I20160910000083 |
Mailing Address | Practice Location Address |
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Eyecare Of Grand Lake Pllc 720 S Main St, Grove, OK 74344 Ph: (918) 791-6600 | Eyecare Of Grand Lake Pllc 720 S Main St, Grove, OK 74344-2841 Ph: (918) 791-6600 |
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Dr. Saunya M Burkhart, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1013 S Main St, Grove, OK 74344 Phone: 918-786-9777 |