Southeastern Oklahoma Eye Clinic | |
1901 W University Blvd, Durant, OK 74701-3076 | |
(580) 920-2020 | |
(580) 924-5656 |
Full Name | Southeastern Oklahoma Eye Clinic |
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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 |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023031994 PECOS PAC ID: 5698854461 Enrollment ID: I20080506000041 |
Provider Name | Jason K Rhynes |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912927450 PECOS PAC ID: 8527147321 Enrollment ID: I20080506000047 |
Provider Name | Cheri A Watkins |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083609416 PECOS PAC ID: 3870651060 Enrollment ID: I20081016000170 |
Provider Name | Hannah Renea Gregory |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366015935 PECOS PAC ID: 7618370701 Enrollment ID: I20210727003088 |
Provider Name | Trenton Cole Kellogg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881267458 PECOS PAC ID: 9133522246 Enrollment ID: I20210727003720 |
Provider Name | Jeffrey B Harris |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285694745 PECOS PAC ID: 4284777392 Enrollment ID: I20220201002057 |
Provider Name | Ashleigh Young |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871335943 PECOS PAC ID: 1951849561 Enrollment ID: I20240906002258 |
Mailing Address | Practice Location Address |
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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 |