| Collinsville Primary Eyecare | |
|
1103 W Center St, Collinsville, OK 74021-3108 | |
| (918) 371-3339 | |
| Not Available |
| Full Name | Collinsville Primary Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1103 W Center St, Collinsville, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699304469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | James Thirion |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093157281 PECOS PAC ID: 9133363856 Enrollment ID: I20130919000595 |
| Provider Name | William Martin Grovenburg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336820547 PECOS PAC ID: 2062954076 Enrollment ID: I20240605003820 |
| Mailing Address | Practice Location Address |
|---|---|
| Collinsville Primary Eyecare Po Box 123, Collinsville, OK 74021-0123 Ph: () - | Collinsville Primary Eyecare 1103 W Center St, Collinsville, OK 74021-3108 Ph: (918) 371-3339 |
William Martin Grovenburg, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 | |
Beatty-jtjv Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 | |
Dr. Leonard Duane Hart, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 | |
Len D. Hart, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 |