| Premier Eyecare Of Enid Pllc | |
|
517 W Maine Ave, Enid, OK 73701-5542 | |
| (580) 242-2300 | |
| (580) 233-7370 |
| Full Name | Premier Eyecare Of Enid Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 517 W Maine Ave, Enid, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124424247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2696 (Oklahoma) | Primary |
| Provider Name | Michael L Peck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023026176 PECOS PAC ID: 3779577200 Enrollment ID: I20040412000518 |
| Provider Name | Justin L Funk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336427178 PECOS PAC ID: 2860664174 Enrollment ID: I20111011000059 |
| Provider Name | Clint M Sproul |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851672323 PECOS PAC ID: 7911155759 Enrollment ID: I20120919000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Eyecare Of Enid Pllc 517 W Maine Ave, Enid, OK 73701-5542 Ph: (580) 242-2300 | Premier Eyecare Of Enid Pllc 517 W Maine Ave, Enid, OK 73701-5542 Ph: (580) 242-2300 |
Dr. Michael Lloyd Peck, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 517 W Maine Ave, Enid, OK 73701 Phone: 580-242-2300 Fax: 580-233-7370 | |
Chase Ratzlaff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1204 W Willow Rd Ste A, Enid, OK 73703 Phone: 580-234-2333 | |
Bethany Hess, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 705 S Oakwood Rd Ste C1, Enid, OK 73703 Phone: 580-237-9379 | |
Dr. Luanne Danes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-7418 | |
Dr. Thomas M Nicholas Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1204 W Willow Rd, Suite A, Enid, OK 73703 Phone: 580-234-2333 Fax: 580-234-0820 | |
W D Diehl Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 502 W Owen K Garriott Rd, Enid, OK 73701 Phone: 580-233-3599 Fax: 580-237-2570 |