| |
1103 W Center St, Collinsville, OK 74021-3108 | |
(918) 371-3339 | |
(918) 371-9600 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1103 W Center St, Collinsville, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1467278135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | 1103 W Center St, Collinsville, OK 74021-3108 Ph: (918) 371-3339 |
William Martin Grovenburg, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 | |
Dr. Leonard Duane Hart, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 | |
Collinsville Primary Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 | |