Canadian Valley Vision Center, Pc is a
Optometrist based in Holdenville, Oklahoma. Canadian Valley Vision Center, Pc is licensed to practice in Oklahoma (license number 2576) and their current practice location is
121 W Main St, Holdenville, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(405) 379-3610.
NPI number for Canadian Valley Vision Center, Pc is 1639329071 and their current mailing address is Po Box 897, Holdenville, Oklahoma. Canadian Valley Vision Center, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1639329071.
Healthcare Provider's Profile
| Full Name | Canadian Valley Vision Center, Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 121 W Main St, Holdenville, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639329071
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 06/29/2009
Medical Identifiers
Medical identifiers for Canadian Valley Vision Center, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639329071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2576 (Oklahoma) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 2576 (Oklahoma) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 2576 (Oklahoma) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 2576 (Oklahoma) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Canadian Valley Vision Center, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Canadian Valley Vision Center, Pc
Po Box 897,
Holdenville, OK 74848-0897
Ph: (405) 379-3610 | Canadian Valley Vision Center, Pc
121 W Main St,
Holdenville, OK 74848-3229
Ph: (405) 379-3610 |
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