Stacey L. Wilda, O.d., P.c. | |
415 N 7th St, Perry, OK 73077-6407 | |
(580) 336-0777 | |
(580) 336-0888 |
Full Name | Stacey L. Wilda, O.d., P.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 415 N 7th St, Perry, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003935487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2236 (Oklahoma) | Primary |
Provider Name | Stacey L Wilda |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578555447 PECOS PAC ID: 0749232080 Enrollment ID: I20050505000146 |
Provider Name | Elise Renee Bolay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770916058 PECOS PAC ID: 3971725763 Enrollment ID: I20141111001631 |
Mailing Address | Practice Location Address |
---|---|
Stacey L. Wilda, O.d., P.c. 415 N 7th St, Perry, OK 73077-6407 Ph: (580) 336-0777 | Stacey L. Wilda, O.d., P.c. 415 N 7th St, Perry, OK 73077-6407 Ph: (580) 336-0777 |
Dr. Curtis Scott Cowell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 Delaware St, Perry, OK 73077 Phone: 580-336-2020 Fax: 580-336-2333 | |
C Scott Cowell Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 Delaware St, Perry, OK 73077 Phone: 580-336-2020 Fax: 580-336-2333 | |
Dr. Stacey Wilda, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 N 7th St, Perry, OK 73077 Phone: 580-336-0777 Fax: 580-336-0888 |