Mr Olin W Fenton, OD | |
200 Dallas St, Talihina, OK 74571-2402 | |
(918) 567-3424 | |
(918) 567-3420 |
Full Name | Mr Olin W Fenton |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 200 Dallas St, Talihina, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164416574 | NPI | - | NPPES |
81289Q | Other | TX | TEXAS BCBS PROVIDER NUMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6474TG (Texas) | Secondary |
152W00000X | Optometrist | 2417 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Choctaw Nation Of Oklahoma | 1759294838 | 217 |
Pushmataha Family Medical Center, Inc | 9537189261 | 13 |
Provider Name | Choctaw Nation Of Oklahoma |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Mr Olin W Fenton, OD 200 Dallas St, Talihina, OK 74571-2402 Ph: (918) 567-3424 | Mr Olin W Fenton, OD 200 Dallas St, Talihina, OK 74571-2402 Ph: (918) 567-3424 |
North East Family Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Dallas St, Talihina, OK 74571 Phone: 903-244-2889 Fax: 918-567-3240 | |
Dr. Dakota Smith Waldroop, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-457-7000 | |
Dr. Michael Glenn Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 |