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13200 N Western Ave Ste A, Oklahoma City, OK 73114-1434 | |
(405) 024-5306 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 13200 N Western Ave Ste A, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871195321 | NPI | - | NPPES |
J8987 | Other | MES VISION |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Carissa Beaudreau |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154933638 PECOS PAC ID: 2163837162 Enrollment ID: I20210225002228 |
Mailing Address | Practice Location Address |
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13200 N Western Ave Ste A, Oklahoma City, OK 73114-1434 Ph: () - | 13200 N Western Ave Ste A, Oklahoma City, OK 73114-1434 Ph: (405) 024-5306 |
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312 | |
Jenna Vergeldt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017 |