| Vision Source-okc South Pllc | |
|
10101 S Penn Ave, Suite A, Oklahoma City, OK 73159-6929 | |
| (405) 691-3319 | |
| (405) 691-1377 |
| Full Name | Vision Source-okc South Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 10101 S Penn Ave, 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 |
|---|---|---|---|
| 1629156617 | NPI | - | NPPES |
| 100760060A | Medicaid | OK | |
| 1629156617 | Other | OK | BCBS OK FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OK950 (Oklahoma) | Primary |
| Provider Name | Brian D Morgan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083617054 PECOS PAC ID: 0042393340 Enrollment ID: I20100817000703 |
| Provider Name | J. Travis Yadon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700820925 PECOS PAC ID: 1355465006 Enrollment ID: I20100901000489 |
| Provider Name | Colby Ricks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114302064 PECOS PAC ID: 3072820711 Enrollment ID: I20150914001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source-okc South Pllc 10101 S Penn Ave, Suite A, Oklahoma City, OK 73159-6929 Ph: (405) 691-3319 | Vision Source-okc South Pllc 10101 S Penn Ave, Suite A, Oklahoma City, OK 73159-6929 Ph: (405) 691-3319 |
Pearle Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2501 W Memorial Rd, Ste 222, Oklahoma City, OK 73134 Phone: 405-775-9300 | |
Young Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 12325 N Rockwell Ave, Oklahoma City, OK 73142 Phone: 405-728-3393 | |
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 | |
Forester & Pitt Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 3011 Nw 63rd St, Oklahoma City, OK 73116 Phone: 405-840-2800 Fax: 405-840-8242 | |
Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 14000 Quailbrook Dr, Oklahoma City, OK 73134 Phone: 405-751-7727 Fax: 405-755-1875 | |
Pearle Vision Optometrist Medicare: Medicare Enrolled Practice Location: 8549 N Rockwell Ave, Oklahoma City, OK 73132 Phone: 405-720-8316 Fax: 405-720-3594 | |
Jenna Vergeldt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017 |