| |
8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 | |
(405) 720-8316 | |
(405) 720-3594 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 8549 N Rockwell Ave, 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 |
---|---|---|---|
1043588791 | NPI | - | NPPES |
200110910A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2059 (Oklahoma) | Primary |
Provider Name | Jeffrey M Butcher |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154414019 PECOS PAC ID: 9931142981 Enrollment ID: I20050621000646 |
Provider Name | Bryan L Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912934035 PECOS PAC ID: 1052503653 Enrollment ID: I20101013001168 |
Provider Name | Chase L Vervack |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285947895 PECOS PAC ID: 8325234305 Enrollment ID: I20101202000586 |
Provider Name | Rodney S Claborn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801176797 PECOS PAC ID: 5991970618 Enrollment ID: I20111208000274 |
Provider Name | Thien Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144605452 PECOS PAC ID: 8426364613 Enrollment ID: I20150902002701 |
Mailing Address | Practice Location Address |
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13553 Sr 54 # 311, Odessa, FL 33556-3527 Ph: (405) 720-8316 | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 Ph: (405) 720-8316 |
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 |