| Mark B. Privott, O.d., Inc | |
|
7415 Nw 23rd St, Bethany, OK 73008-5135 | |
| (405) 495-5170 | |
| (405) 787-0123 |
| Full Name | Mark B. Privott, O.d., Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7415 Nw 23rd St, Bethany, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225257249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1113 (Oklahoma) | Primary |
| Provider Name | Mark B Privott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164416343 PECOS PAC ID: 8527108182 Enrollment ID: I20091214000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark B. Privott, O.d., Inc 7415 Nw 23rd St, Bethany, OK 73008-5135 Ph: (405) 495-5170 | Mark B. Privott, O.d., Inc 7415 Nw 23rd St, Bethany, OK 73008-5135 Ph: (405) 495-5170 |
Dr. Chris J Fry, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6303 Nw 23rd St, Bethany, OK 73008 Phone: 405-782-0300 Fax: 405-782-0302 | |
Catherine F Carlin O D,p C Optometrist Medicare: Medicare Enrolled Practice Location: 6303 Nw 23rd St, Bethany, OK 73008 Phone: 405-782-0301 Fax: 405-782-0302 | |
Chris J Fry O D, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6303 Nw 23rd St, Bethany, OK 73008 Phone: 405-782-0300 Fax: 405-782-0302 | |
Eye Caan Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 6303 Nw 23rd St, Bethany, OK 73008 Phone: 405-782-0300 Fax: 405-782-0302 | |
Dr. Catherine F Carlin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6303 Nw 23rd St, Bethany, OK 73008 Phone: 405-782-0300 Fax: 405-782-0302 |