| Family Eye Care Of Shawnee Pllc | |
|
2109 N Kickapoo Ave, Shawnee, OK 74804-2732 | |
| (405) 275-2020 | |
| (405) 275-4129 |
| Full Name | Family Eye Care Of Shawnee Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2109 N Kickapoo Ave, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316335615 | NPI | - | NPPES |
| 0577720001 | Other | OK | PALMETTO |
| 100764300A | Medicaid | OK | |
| 200463520A | Medicaid | OK | |
| 731350800001 | Other | OK | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jordan S Ewert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124374426 PECOS PAC ID: 0840444766 Enrollment ID: I20130131000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Eye Care Of Shawnee Pllc 2109 N Kickapoo Ave, Shawnee, OK 74804-2732 Ph: (405) 275-2020 | Family Eye Care Of Shawnee Pllc 2109 N Kickapoo Ave, Shawnee, OK 74804-2732 Ph: (405) 275-2020 |
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 | |
Dr. Marshall R Gleckler, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 E 45th St, Shawnee, OK 74804 Phone: 405-275-7676 Fax: 405-275-6837 | |
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 |