Jackie Lynne Burress, OD | |
1001 N Grand Ave, Tahlequah, OK 74464-7017 | |
(918) 456-5511 | |
Not Available |
Full Name | Jackie Lynne Burress |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1001 N Grand Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851604961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2643 (Oklahoma) | Primary |
Provider Name | Northeastern State University College Of Optometry |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437106333 PECOS PAC ID: 0941112528 Enrollment ID: O20031103000296 |
Mailing Address | Practice Location Address |
---|---|
Jackie Lynne Burress, OD 1011 Honor Heights Dr, Muskogee, OK 74401-1318 Ph: (918) 577-3000 | Jackie Lynne Burress, OD 1001 N Grand Ave, Tahlequah, OK 74464-7017 Ph: (918) 456-5511 |
Dr. Michele Bither-marshall, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464 Phone: 918-458-2109 Fax: 918-458-2310 | |
Dr. Rodney Bendure, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464 Phone: 918-458-2109 Fax: 918-458-2310 | |
Tahlequah Family Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 681 W Choctaw St, Tahlequah, OK 74464 Phone: 918-456-2250 Fax: 918-456-2251 | |
Dr. Megan Jean Chee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 N Grand Ave, Nsu Oklahoma College Of Optometry, Tahlequah, OK 74464 Phone: 918-444-4031 | |
Dr. Latricia Pack, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464 Phone: 918-458-2109 Fax: 918-458-2310 | |
Dr. Laura Lai Ming Chan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464 Phone: 918-444-4000 | |
Hannah Munyan Sikes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 N Grand Ave, Tahlequah, OK 74464 Phone: 918-444-4007 |