| Southeastern Oklahoma Eye Clinic | |
|
1901 W University Blvd, Durant, OK 74701-3076 | |
| (580) 920-2020 | |
| (580) 924-5656 |
| Full Name | Southeastern Oklahoma Eye Clinic |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 1901 W University Blvd, Durant, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700915956 | NPI | - | NPPES |
| 200128560A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
| Provider Name | Gregory B Clay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023031994 PECOS PAC ID: 5698854461 Enrollment ID: I20080506000041 |
| Provider Name | Jason K Rhynes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912927450 PECOS PAC ID: 8527147321 Enrollment ID: I20080506000047 |
| Provider Name | Cheri A Watkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083609416 PECOS PAC ID: 3870651060 Enrollment ID: I20081016000170 |
| Provider Name | Hannah Renea Gregory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366015935 PECOS PAC ID: 7618370701 Enrollment ID: I20210727003088 |
| Provider Name | Trenton Cole Kellogg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881267458 PECOS PAC ID: 9133522246 Enrollment ID: I20210727003720 |
| Provider Name | Jeffrey B Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285694745 PECOS PAC ID: 4284777392 Enrollment ID: I20220201002057 |
| Provider Name | Ashleigh Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871335943 PECOS PAC ID: 1951849561 Enrollment ID: I20240906002258 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oklahoma Eye Clinic 1901 W University Blvd, Durant, OK 74701-3098 Ph: (580) 920-2020 | Southeastern Oklahoma Eye Clinic 1901 W University Blvd, Durant, OK 74701-3076 Ph: (580) 920-2020 |