Pauls Valley Eye Clinic Pllc | |
1811 West Grant Ave, Pauls Valley, OK 73075-0622 | |
(405) 238-6459 | |
(405) 238-6450 |
Full Name | Pauls Valley Eye Clinic Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 1811 West Grant Ave, Pauls Valley, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699047365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2662 (Oklahoma) | Primary |
Provider Name | Stephanie Mendell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528371721 PECOS PAC ID: 8628253465 Enrollment ID: I20110623000765 |
Provider Name | Scott Mendell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245543446 PECOS PAC ID: 7315121878 Enrollment ID: I20110722000353 |
Provider Name | Kathryn Elizabeth Kubiak |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427663731 PECOS PAC ID: 5597111948 Enrollment ID: I20231022000028 |
Mailing Address | Practice Location Address |
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Pauls Valley Eye Clinic Pllc 1811 West Grant Ave, Pauls Valley, OK 73075-0622 Ph: (405) 238-6459 | Pauls Valley Eye Clinic Pllc 1811 West Grant Ave, Pauls Valley, OK 73075-0622 Ph: (405) 238-6459 |
Dr. Bruce Wayne Varner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Maxwell Dr, Pauls Valley, OK 73075 Phone: 405-238-6459 Fax: 405-238-6450 | |
Dr. Larry D Jones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 Melville Drive, Pauls Valley, OK 73075 Phone: 405-238-5566 | |
Dr. Kathryn Elizabeth Kubiak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1811 W Grant Ave, Pauls Valley, OK 73075 Phone: 405-238-6459 |