Guthrie Eye Care Clinic, Inc. | |
2114 W Noble Ave, Guthrie, OK 73044-2116 | |
(405) 260-2020 | |
(405) 282-8886 |
Full Name | Guthrie Eye Care Clinic, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 2114 W Noble Ave, Guthrie, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063415396 | NPI | - | NPPES |
043728001 | Other | DMERC | |
100745070A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1193 (Oklahoma) | Primary |
152W00000X | Optometrist | 2032 (Oklahoma) | Secondary |
Provider Name | Douglas Cook |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417950775 PECOS PAC ID: 5193839587 Enrollment ID: I20120224000793 |
Provider Name | Lisa Cook |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942203203 PECOS PAC ID: 5890802649 Enrollment ID: I20120224000803 |
Provider Name | Kayla Nicole Cook |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093395147 PECOS PAC ID: 9537563028 Enrollment ID: I20210805000882 |
Mailing Address | Practice Location Address |
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Guthrie Eye Care Clinic, Inc. 2114 W Noble Ave, Guthrie, OK 73044-2116 Ph: (405) 260-2020 | Guthrie Eye Care Clinic, Inc. 2114 W Noble Ave, Guthrie, OK 73044-2116 Ph: (405) 260-2020 |
Brian A. Padgham, O. D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-8298 | |
Dr. Kayla Nicole Cook, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 | |
Dr. Douglas Todd Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 | |
Michael E. Bennett, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-8298 | |
Dr. Lisa Marie Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 | |
Guthrie Vision Source Pc, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-8298 |