Grantham Eye Clinic is a medicare enrolled "Optometrist" provider in Wilburton, Oklahoma. Their current practice location is
218 W Main St, Wilburton, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(918) 465-3780.
Grantham Eye Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Grantham Eye Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124174966.
Healthcare Provider's Profile
Full Name | Grantham Eye Clinic |
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Type | Facility |
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Speciality | Optometrist |
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Location | 218 W Main St, Wilburton, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124174966
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234346677
- Enrollment ID: O20100930006180
Medical Identifiers
Medical identifiers for Grantham Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124174966 | NPI | - | NPPES |
200090590A | Medicaid | OK | |
100851340A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grantham Eye Clinic is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grantham Eye Clinic 218 W Main St, Wilburton, OK 74578-4046 Ph: (918) 465-3780 | Grantham Eye Clinic 218 W Main St, Wilburton, OK 74578-4046 Ph: (918) 465-3780 |
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