| Broadway Vision Associates, Plc | |
|
435 W Broadway St, Muskogee, OK 74401-6614 | |
| (918) 687-4459 | |
| (918) 687-0238 |
| Full Name | Broadway Vision Associates, Plc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 435 W Broadway St, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154441848 | NPI | - | NPPES |
| 100739020A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Candace Y Stewart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588633697 PECOS PAC ID: 1456420744 Enrollment ID: I20080513000054 |
| Provider Name | Leslie R Trimble |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992773345 PECOS PAC ID: 5991874299 Enrollment ID: I20080513000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Vision Associates, Plc 435 W Broadway St, Muskogee, OK 74401-6614 Ph: (918) 687-4459 | Broadway Vision Associates, Plc 435 W Broadway St, Muskogee, OK 74401-6614 Ph: (918) 687-4459 |
Dr. Lorrie A Richardson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 742 N York St, Muskogee, OK 74403 Phone: 918-682-7752 Fax: 918-687-8440 | |
Dr. Karla Louise Rice, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Chandler Rd, Muskogee, OK 74403 Phone: 918-682-2181 Fax: 918-686-7988 | |
Dr. Joni S Couch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3131 Military Blvd, Muskogee, OK 74401 Phone: 918-687-6600 Fax: 918-687-6610 | |
Mr. Jerry K Coburn, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 742 N York St, Muskogee, OK 74403 Phone: 918-682-7752 Fax: 918-687-8440 | |
Drs. Odom Coburn And Richardson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 742 N York St, Muskogee, OK 74403 Phone: 918-682-7752 Fax: 918-687-8440 | |
Dr. Penny B Smythe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1157 N York St, Muskogee, OK 74403 Phone: 918-683-8404 Fax: 918-687-4469 | |
Dr. Richard Dan Creed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3705 W Broadway St, Muskogee, OK 74401 Phone: 918-687-7530 Fax: 918-687-4019 |