Southern Oklahoma Eye Center Llc is a medicare enrolled "Optometrist" provider in Sulphur, Oklahoma. Their current practice location is
1010 W 3rd St, Sulphur, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 622-2020.
Southern Oklahoma Eye Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southern Oklahoma Eye Center Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1184785867.
Healthcare Provider's Profile
| Full Name | Southern Oklahoma Eye Center Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1010 W 3rd St, Sulphur, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184785867
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 12/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 9133247513
- Enrollment ID: O20101008000576
Medical Identifiers
Medical identifiers for Southern Oklahoma Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184785867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southern Oklahoma Eye Center Llc acts as a billing entity for following providers:
| Provider Name | Evan Lee Bragg |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1811058589
PECOS PAC ID: 5395852180
Enrollment ID: I20101227000533 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southern Oklahoma Eye Center Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Southern Oklahoma Eye Center Llc
1010 W 3rd St, Po Box 499,
Sulphur, OK 73086-4801
Ph: (580) 622-2020 | Southern Oklahoma Eye Center Llc
1010 W 3rd St,
Sulphur, OK 73086-4801
Ph: (580) 622-2020 |
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