Epic Vision | |
10801 S Western Ave Ste 200, Oklahoma City, OK 73170-6222 | |
(405) 703-8404 | |
(405) 561-1884 |
Full Name | Epic Vision |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 10801 S Western Ave Ste 200, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588685622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Darin R Haivala |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689641342 PECOS PAC ID: 9234036898 Enrollment ID: I20041110000616 |
Provider Name | Darrell J Pickard |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1336118769 PECOS PAC ID: 5890794218 Enrollment ID: I20061214000406 |
Provider Name | Jeffrey T Shaver |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073582409 PECOS PAC ID: 7618070863 Enrollment ID: I20070309000035 |
Provider Name | Elizabeth L Burkhart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164653846 PECOS PAC ID: 3476609165 Enrollment ID: I20090922000354 |
Provider Name | Charles Paul Bogie |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588645253 PECOS PAC ID: 7810037785 Enrollment ID: I20091228000451 |
Provider Name | Gemini J Bogie |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1326029299 PECOS PAC ID: 7719028158 Enrollment ID: I20100107000794 |
Provider Name | Robert E Leonard |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124097589 PECOS PAC ID: 0446384309 Enrollment ID: I20100813000222 |
Provider Name | Taran Lasater |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265662381 PECOS PAC ID: 6305034174 Enrollment ID: I20101221000086 |
Provider Name | Michael A Wiles |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689057648 PECOS PAC ID: 2062729627 Enrollment ID: I20150914002639 |
Provider Name | Joshua Martin Jones |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063831675 PECOS PAC ID: 4385941368 Enrollment ID: I20180607001106 |
Provider Name | Natalie Marie Mccord |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346727864 PECOS PAC ID: 6406105006 Enrollment ID: I20180815000788 |
Provider Name | Shaun Hajjari |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154809887 PECOS PAC ID: 0345590097 Enrollment ID: I20180830001998 |
Provider Name | Nicholas C Allensworth |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730798281 PECOS PAC ID: 4385060706 Enrollment ID: I20200817001582 |
Provider Name | William Ebke |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659982510 PECOS PAC ID: 4981021862 Enrollment ID: I20200825000506 |
Provider Name | Danlin J Fuller |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407276769 PECOS PAC ID: 0547551723 Enrollment ID: I20210614000138 |
Provider Name | Faisal Ahmed |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417640194 PECOS PAC ID: 2567817463 Enrollment ID: I20231012002648 |
Mailing Address | Practice Location Address |
---|---|
Epic Vision 1455 S Douglas Blvd, Suite D, Midwest City, OK 73130-5268 Ph: (405) 733-4545 | Epic Vision 10801 S Western Ave Ste 200, Oklahoma City, OK 73170-6222 Ph: (405) 703-8404 |