Michael Watters Inc | |
2020 N Harrison, Shawnee, OK 74804 | |
(405) 273-7075 | |
(405) 273-7405 |
Full Name | Michael Watters Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2020 N Harrison, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265636922 | NPI | - | NPPES |
900522241 | Other | OK | MEDICARE GROUP NUMBER |
200046010A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2408 (Oklahoma) | Primary |
Provider Name | Michael Brian Watters |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164586699 PECOS PAC ID: 5294639506 Enrollment ID: I20031119000902 |
Mailing Address | Practice Location Address |
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Michael Watters Inc 2020 N Harrison, Shawnee, OK 74804 Ph: (405) 273-7075 | Michael Watters Inc 2020 N Harrison, Shawnee, OK 74804 Ph: (405) 273-7075 |
Jordan Heath Fleming, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2307 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-273-5236 Fax: 405-878-4835 | |
Shawnee Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 100 E 45th St, Shawnee, OK 74804 Phone: 405-275-7676 Fax: 405-275-6837 | |
Jordan Scott Ewert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2109 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-2020 Fax: 405-275-4129 | |
Michael Brian Watters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 N Harrison, Shawnee, OK 74804 Phone: 405-273-7075 Fax: 405-273-7405 | |
Dr. Marshall R Gleckler, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 E 45th St, Shawnee, OK 74804 Phone: 405-275-7676 Fax: 405-275-6837 | |
John D Kastl, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4901 N Kickapoo Ave, Suite 1626, Shawnee, OK 74804 Phone: 405-273-5014 Fax: 405-273-5014 |