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317 E Aquarium Pl, Jenks, OK 74037-6811 | |
| (918) 296-4733 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 317 E Aquarium Pl, Jenks, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962146639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
| Provider Name | Brittany Wolthuizen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073168308 PECOS PAC ID: 5698006229 Enrollment ID: I20191014001590 |
| Provider Name | Shea Jean Schmidt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891340253 PECOS PAC ID: 8426389651 Enrollment ID: I20191018001669 |
| Provider Name | Cooper B Wyrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790338259 PECOS PAC ID: 5496181398 Enrollment ID: I20200213001265 |
| Mailing Address | Practice Location Address |
|---|---|
14614 Jordan Ct, Glenpool, OK 74033-6013 Ph: (712) 541-1434 | 317 E Aquarium Pl, Jenks, OK 74037-6811 Ph: (918) 296-4733 |
Riverside Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 524 E Main St, Jenks, OK 74037 Phone: 918-296-4733 Fax: 918-296-4734 | |
Insight Eyecare Jenks Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 301 W Main St, Jenks, OK 74037 Phone: 918-296-3937 | |
Riverside Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 524 E Main St, Jenks, OK 74037 Phone: 918-296-4733 | |
Dr. Hannah Sanders, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 224 S Gateway Place, Jenks, OK 74037 Phone: 918-747-2020 | |
Mr. Brandon Hadel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 244 S Gateway Place, Suite 401, Jenks, OK 74037 Phone: 918-747-2020 Fax: 918-747-2056 | |
Dr. Mary Joel Sturm, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 224 S Gateway Pl, Suite 101, Jenks, OK 74037 Phone: 918-747-2020 Fax: 918-747-2056 |