Myeyedr. | |
511 S Park Dr Ste A, Broken Bow, OK 74728-5329 | |
(580) 584-3434 | |
(580) 584-3454 |
Full Name | Myeyedr. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 511 S Park Dr Ste A, Broken Bow, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174089478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Dawn Elaine Teel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639169766 PECOS PAC ID: 0840187035 Enrollment ID: I20040305000377 |
Provider Name | David R Kolker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073618211 PECOS PAC ID: 6002803418 Enrollment ID: I20040428000559 |
Provider Name | Monte Harrel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740288414 PECOS PAC ID: 6608837620 Enrollment ID: I20041213000004 |
Provider Name | Eric G Baggs |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134289507 PECOS PAC ID: 8921039744 Enrollment ID: I20050822001004 |
Provider Name | Matthew E Ozment |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669433249 PECOS PAC ID: 1254424625 Enrollment ID: I20070831000051 |
Provider Name | Denise L Roddy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013010289 PECOS PAC ID: 4082783386 Enrollment ID: I20080513000060 |
Provider Name | Christina L Beartrack |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356506430 PECOS PAC ID: 6002971173 Enrollment ID: I20090224000739 |
Provider Name | Bryan L Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912934035 PECOS PAC ID: 1052503653 Enrollment ID: I20101013001168 |
Provider Name | Darin Shupert |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740378710 PECOS PAC ID: 8527257351 Enrollment ID: I20110111000121 |
Provider Name | Jerry Mullen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619073749 PECOS PAC ID: 4284742925 Enrollment ID: I20120229000449 |
Provider Name | Mitchell R Anderson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598881534 PECOS PAC ID: 3971762717 Enrollment ID: I20120314000106 |
Provider Name | Savanah Janae Sayler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851647184 PECOS PAC ID: 9335396589 Enrollment ID: I20120823000543 |
Provider Name | Steven B Moyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215071881 PECOS PAC ID: 9537318027 Enrollment ID: I20120926000642 |
Provider Name | Kristin Rebecca Vandervoort |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912255373 PECOS PAC ID: 7911140603 Enrollment ID: I20130828000328 |
Provider Name | Elvin W Fenton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215920442 PECOS PAC ID: 1052205465 Enrollment ID: I20130924000319 |
Provider Name | Clayton Boyd |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720463698 PECOS PAC ID: 9436466901 Enrollment ID: I20150916000133 |
Provider Name | Denise Burns |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982011912 PECOS PAC ID: 3173828670 Enrollment ID: I20160222001014 |
Provider Name | Mark Ryan Lanka |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679817506 PECOS PAC ID: 9931337995 Enrollment ID: I20160916000795 |
Provider Name | Susan L Williams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083074363 PECOS PAC ID: 9032406186 Enrollment ID: I20160917000408 |
Provider Name | Nicholas Joseph Mccolley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104277920 PECOS PAC ID: 2860785326 Enrollment ID: I20160919000036 |
Provider Name | Kelly E Glass |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023425675 PECOS PAC ID: 7416273529 Enrollment ID: I20161215001722 |
Provider Name | Peter G Bako |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629590450 PECOS PAC ID: 8325319304 Enrollment ID: I20170809003676 |
Provider Name | Britton Liron Adams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447737960 PECOS PAC ID: 2860742723 Enrollment ID: I20180913003086 |
Provider Name | Priscilla L Kier |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134649015 PECOS PAC ID: 9830460856 Enrollment ID: I20181018000449 |
Provider Name | Brad Aaron |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073588810 PECOS PAC ID: 2264487487 Enrollment ID: I20200224000572 |
Provider Name | Joshua M Golden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255764387 PECOS PAC ID: 7113152513 Enrollment ID: I20200313000467 |
Provider Name | Grace Young |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629491899 PECOS PAC ID: 3072800093 Enrollment ID: I20200909003095 |
Provider Name | Nattali N Masson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588273080 PECOS PAC ID: 5294153474 Enrollment ID: I20200921001731 |
Provider Name | Katherine L Horn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871113878 PECOS PAC ID: 5092135673 Enrollment ID: I20210415000712 |
Provider Name | Tyler Steven Claunch |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093388316 PECOS PAC ID: 4183022007 Enrollment ID: I20211007001156 |
Provider Name | Neil Hecker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417577719 PECOS PAC ID: 2769800879 Enrollment ID: I20211207001573 |
Provider Name | Bryce Ray Mcintosh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174263792 PECOS PAC ID: 5799169710 Enrollment ID: I20220825000318 |
Provider Name | Kayla Martin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467180257 PECOS PAC ID: 3678959434 Enrollment ID: I20230828002220 |
Provider Name | Shane Ragsdale |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265720247 PECOS PAC ID: 2860665007 Enrollment ID: I20231006001546 |
Provider Name | Joseph Pruitt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477752913 PECOS PAC ID: 8921187477 Enrollment ID: I20240213001287 |
Provider Name | Griffin William Trenz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699536078 PECOS PAC ID: 7618313008 Enrollment ID: I20240307002216 |
Provider Name | Haley Trenz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659066256 PECOS PAC ID: 5294182069 Enrollment ID: I20240530002062 |
Mailing Address | Practice Location Address |
---|---|
Myeyedr. 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Myeyedr. 511 S Park Dr Ste A, Broken Bow, OK 74728-5329 Ph: (580) 584-3434 |
Texarkana Eye Associates-broken Bow Branch Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Park Dr, Suite A, Broken Bow, OK 74728 Phone: 580-584-3434 | |
Dr. Mark R Lanka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 511 S Park Dr Ste A, Broken Bow, OK 74728 Phone: 580-584-3434 Fax: 580-584-3454 |