| Legacy Eye Care Pllc | |
|
1207 Cornwell Dr, Yukon, OK 73099-4633 | |
| (405) 354-3384 | |
| Not Available |
| Full Name | Legacy Eye Care Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1207 Cornwell Dr, Yukon, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225647415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kyle Glenn Henderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780069609 PECOS PAC ID: 4082929534 Enrollment ID: I20150813010021 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Eye Care Pllc 10001 Aberdeen Ln, Yukon, OK 73099-7644 Ph: (918) 207-6276 | Legacy Eye Care Pllc 1207 Cornwell Dr, Yukon, OK 73099-4633 Ph: (405) 354-3384 |
Oklahoma Eye Specialist Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2001 Wheatfield Ave, Yukon, OK 73099 Phone: 405-308-3430 | |
Michael Joseph Hampton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1604 Professional Cir, Yukon, OK 73099 Phone: 405-354-3624 Fax: 405-350-7512 | |
Total Optical Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4400 Grant Blvd, Suite 106, Yukon, OK 73099 Phone: 405-603-4744 | |
Dr. John Mace, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Ultimate Vision, 334 S. Mustang Rd, Yukon, OK 73099 Phone: 405-324-0001 Fax: 405-324-0015 | |
Valerie Ridgena Hatley, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 621 W Main St, Yukon, OK 73099 Phone: 405-354-2788 | |
Dr. David Charles Brewer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1207 S Cornwell Dr, Yukon, OK 73099 Phone: 405-354-3384 Fax: 405-354-0703 |