Cleveland Vision Center | |
107 S Broadway St, Cleveland, OK 74020-4614 | |
(918) 385-2245 | |
Not Available |
Full Name | Cleveland Vision Center |
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Type | Facility |
Speciality | Optometrist |
Location | 107 S Broadway St, Cleveland, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376272369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Lisa M Kedzuf-mcginnis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134216609 PECOS PAC ID: 1951318872 Enrollment ID: I20060329000012 |
Mailing Address | Practice Location Address |
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Cleveland Vision Center 9318 Scarlet Oak Dr, Sand Springs, OK 74063-3901 Ph: () - | Cleveland Vision Center 107 S Broadway St, Cleveland, OK 74020-4614 Ph: (918) 385-2245 |
Dr. Lisa Marie Kedzuf-mcginnis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 107 S Broadway St, Cleveland, OK 74020 Phone: 918-358-2245 | |
Dr. Gregory A. Fielding , P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 107 S Broadway St, Cleveland, OK 74020 Phone: 918-358-2245 Fax: 918-358-5230 | |
Mr. Gregory Allen Fielding, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 South Broadway, Cleveland, OK 74020 Phone: 918-358-2245 Fax: 918-358-5230 |