Midtown Optical Pllc | |
1106 Classen Dr, Oklahoma City, OK 73103-2608 | |
(405) 604-0987 | |
(405) 604-3359 |
Full Name | Midtown Optical Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 1106 Classen Dr, 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 |
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1427369974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2526 (Oklahoma) | Primary |
Provider Name | Larry J Greenhaw |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184758484 PECOS PAC ID: 1153354089 Enrollment ID: I20050913000024 |
Provider Name | Cody P Greenhaw |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487845954 PECOS PAC ID: 9830263623 Enrollment ID: I20080728000390 |
Mailing Address | Practice Location Address |
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Midtown Optical Pllc 1106 Classen Dr, Oklahoma City, OK 73103-2608 Ph: (405) 604-0987 | Midtown Optical Pllc 1106 Classen Dr, Oklahoma City, OK 73103-2608 Ph: (405) 604-0987 |
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312 | |
Jenna Vergeldt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017 |