| Brian A Padgham, O D | |
|
110 E Harrison Ave, Guthrie, OK 73044-4839 | |
| (405) 282-4396 | |
| (405) 282-8298 |
| Full Name | Brian A Padgham |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 110 E Harrison Ave, Guthrie, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073611505 | NPI | - | NPPES |
| 200101850A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2493 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Vision Source Pc Inc | 7416905237 | 3 |
| Provider Name | Guthrie Vision Source Pc Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982625703 PECOS PAC ID: 7416905237 Enrollment ID: O20050108000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A Padgham, O D 110 E Harrison Ave, Guthrie, OK 73044-4839 Ph: (405) 282-4396 | Brian A Padgham, O D 110 E Harrison Ave, Guthrie, OK 73044-4839 Ph: (405) 282-4396 |
Guthrie Eye Care Clinic, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 | |
Dr. Kayla Nicole Cook, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 | |
Dr. Douglas Todd Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 | |
Michael E. Bennett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-8298 | |
Dr. Lisa Marie Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 |