| Stillwater Vision Clinic Inc | |
|
2123 W 6th Ave, Stillwater, OK 74074-4136 | |
| (405) 372-3724 | |
| (405) 743-1042 |
| Full Name | Stillwater Vision Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2123 W 6th Ave, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912124751 | NPI | - | NPPES |
| 443721363001 | Other | OK | DAVID REYNOLDS,OD BCBS |
| 100768660B | Medicaid | OK | |
| 410033132 | Other | OK | BRIAN GUMM,O.D. RR MCARE |
| 448646516001 | Other | OK | BRIAN GUMM,OD BCBS |
| 100766180A | Medicaid | OK | |
| 410032462 | Other | OK | DAVID REYNOLDS,OD RRMCARE |
| 200005020A | Medicaid | OK | |
| 0210790001 | Other | OK | STILL VISION CL DMERC |
| 100766010A | Medicaid | OK | |
| 410019936 | Other | OK | JAMES STARK,O.D. RR MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David T Reynolds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285675942 PECOS PAC ID: 1850473067 Enrollment ID: I20110228000134 |
| Provider Name | Brian R Gumm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649211301 PECOS PAC ID: 8123100336 Enrollment ID: I20110322001033 |
| Provider Name | Kelsey D Grounds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629416789 PECOS PAC ID: 6406090018 Enrollment ID: I20130923000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Vision Clinic Inc 2123 W 6th Ave, Stillwater, OK 74074-4136 Ph: (405) 372-3724 | Stillwater Vision Clinic Inc 2123 W 6th Ave, Stillwater, OK 74074-4136 Ph: (405) 372-3724 |
Dr. Randall Scott Sauer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1711 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1715 Fax: 405-372-3350 | |
Dr. Eddie Alan Smith, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 617 S Main St, Stillwater, OK 74074 Phone: 405-372-7337 Fax: 405-372-7337 | |
Dr. Jeff D. Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1711 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1715 Fax: 405-372-3350 | |
David T Reynolds, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2123 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-3724 Fax: 405-743-1042 | |
Dr. David A Cockrell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1711 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1715 Fax: 405-372-3350 | |
Cockrell Eyecare Center Optometrist Medicare: Medicare Enrolled Practice Location: 1711 W 6th, Stillwater, OK 74074 Phone: 405-372-1715 Fax: 405-372-3350 | |
Dr. Cherry B. Cockrell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1711 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1715 Fax: 405-372-3350 |