| |
24295 Highway 82, Building 2, Park Hill, OK 74451-4012 | |
(918) 207-0700 | |
(918) 207-0701 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 24295 Highway 82, Park Hill, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699804062 | NPI | - | NPPES |
DF6544 | Other | OK | RAIL ROAD MEDICARE |
200070810A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2400 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
24295 Highway 82, Building 2, Park Hill, OK 74451-4012 Ph: (918) 207-0700 | 24295 Highway 82, Building 2, Park Hill, OK 74451-4012 Ph: (918) 207-0700 |
Dr. Lynn Cyert, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24295 Highway 82, Bldg 2, Park Hill, OK 74451 Phone: 918-207-0700 Fax: 918-207-0701 |