Courtney Simon, | |
471688 Ok-51, Stilwell, OK 74960 | |
(918) 696-8800 | |
Not Available |
Full Name | Courtney Simon |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 471688 Ok-51, Stilwell, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114663085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3197 (Oklahoma) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Provider Name | Northeastern State University College Of Optometry |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437106333 PECOS PAC ID: 0941112528 Enrollment ID: O20031103000296 |
Mailing Address | Practice Location Address |
---|---|
Courtney Simon, 400 Greenwood Dr, Tahlequah, OK 74464-4815 Ph: (918) 931-9506 | Courtney Simon, 471688 Ok-51, Stilwell, OK 74960 Ph: (918) 696-8800 |
Dr. Billy Joe Brunk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 816 W Cedar St, Stilwell, OK 74960 Phone: 918-696-6717 Fax: 918-696-6717 | |
Hayden Alexis Harness, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 471688 Sh-51, Stilwell, OK 74960 Phone: 918-696-8800 | |
Brunk Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 816 W Cedar St, Stilwell, OK 74960 Phone: 918-696-6717 Fax: 918-696-6717 |