| Dean Mcgee Eye Institute | |
|
608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | |
| (405) 271-6060 | |
| Not Available |
| Full Name | Dean Mcgee Eye Institute |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 608 Stanton L Young Blvd, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245209675 | NPI | - | NPPES |
| 100004420A | Medicaid | KS | |
| 114829002 | Medicaid | AR | |
| 100749530A | Medicaid | OK | |
| 501014302 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Anil Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265491351 PECOS PAC ID: 7911804943 Enrollment ID: I20031217000478 |
| Provider Name | Raymond M Siatkowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164491593 PECOS PAC ID: 0547291015 Enrollment ID: I20050824000569 |
| Provider Name | Angela M Plant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205937463 PECOS PAC ID: 6103902283 Enrollment ID: I20080331000032 |
| Provider Name | Ronald Kingsley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962471326 PECOS PAC ID: 2668510397 Enrollment ID: I20091117000413 |
| Provider Name | Brandalyn Loyko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780785717 PECOS PAC ID: 9739228446 Enrollment ID: I20091209000118 |
| Provider Name | Deana Watts |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598734972 PECOS PAC ID: 2062553639 Enrollment ID: I20100104000619 |
| Provider Name | Gregory Skuta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437128865 PECOS PAC ID: 3173604972 Enrollment ID: I20100104000632 |
| Provider Name | Reagan H Bradford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750340717 PECOS PAC ID: 8921189721 Enrollment ID: I20100104000639 |
| Provider Name | Rebecca Morgan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558330928 PECOS PAC ID: 5395886964 Enrollment ID: I20100104000649 |
| Provider Name | John M Bell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124094115 PECOS PAC ID: 3173628997 Enrollment ID: I20100428000473 |
| Provider Name | Ann A Warn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316916794 PECOS PAC ID: 4385778877 Enrollment ID: I20100819000573 |
| Provider Name | Layne E Goetzinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770550436 PECOS PAC ID: 6507990017 Enrollment ID: I20100819000785 |
| Provider Name | Rhea L Siatkowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255300687 PECOS PAC ID: 4587752118 Enrollment ID: I20100819000820 |
| Provider Name | Ralph B Hester |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215904974 PECOS PAC ID: 1951499581 Enrollment ID: I20100902000406 |
| Provider Name | Jessica L Lucas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750669479 PECOS PAC ID: 9830361534 Enrollment ID: I20110930000138 |
| Provider Name | Tasha J Schellenberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912099029 PECOS PAC ID: 5698943629 Enrollment ID: I20111027000785 |
| Provider Name | Tammy Lyn Yanovitch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124057039 PECOS PAC ID: 8921003435 Enrollment ID: I20111208000512 |
| Provider Name | Ben Jacob Harvey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447448907 PECOS PAC ID: 2961671698 Enrollment ID: I20120530000604 |
| Provider Name | Annie Moreau |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871686758 PECOS PAC ID: 4183873755 Enrollment ID: I20120926000363 |
| Provider Name | Andrew K Bailey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285772160 PECOS PAC ID: 6901045962 Enrollment ID: I20130624000269 |
| Provider Name | Brian Firestone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073772398 PECOS PAC ID: 1052548120 Enrollment ID: I20131217000362 |
| Provider Name | Maria E Lim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265722862 PECOS PAC ID: 1850609389 Enrollment ID: I20170603000095 |
| Provider Name | Andrew Melson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336568146 PECOS PAC ID: 5991929853 Enrollment ID: I20180516002663 |
| Provider Name | Jeremy T Tan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124387626 PECOS PAC ID: 1759685209 Enrollment ID: I20180614001079 |
| Provider Name | Carolyn E Kloek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952335614 PECOS PAC ID: 9133122716 Enrollment ID: I20181215000112 |
| Provider Name | Kamran Mohammed Riaz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326276965 PECOS PAC ID: 9638325855 Enrollment ID: I20190125001916 |
| Provider Name | Rachel Caywood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134248792 PECOS PAC ID: 1254345655 Enrollment ID: I20200330002027 |
| Provider Name | Jila Noorikolouri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023548328 PECOS PAC ID: 4385981695 Enrollment ID: I20200708001358 |
| Provider Name | Victoria A Bugg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831627611 PECOS PAC ID: 2668716614 Enrollment ID: I20210610000818 |
| Provider Name | Scott Andrew Vadala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316442973 PECOS PAC ID: 0941534978 Enrollment ID: I20220518002968 |
| Provider Name | Thai Hoang Do |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407201494 PECOS PAC ID: 1153612650 Enrollment ID: I20220627001606 |
| Provider Name | Razek Georges Coussa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700362522 PECOS PAC ID: 2769731587 Enrollment ID: I20220729002990 |
| Provider Name | Laura A Kahn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790166767 PECOS PAC ID: 8325353535 Enrollment ID: I20230912002531 |
| Provider Name | Matthew S Chorost |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316301583 PECOS PAC ID: 4688056609 Enrollment ID: I20240322003505 |
| Provider Name | Jared M Raabe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710514377 PECOS PAC ID: 5294158424 Enrollment ID: I20240521002134 |
| Provider Name | Martin A Worrall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477532497 PECOS PAC ID: 0446246938 Enrollment ID: I20240812000627 |
| Provider Name | Stacie Newton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659109098 PECOS PAC ID: 0042759227 Enrollment ID: I20240902000465 |
| Provider Name | Ravi R Pandit |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831469881 PECOS PAC ID: 7315166824 Enrollment ID: I20241005000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Mcgee Eye Institute 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 Ph: (405) 271-6060 | Dean Mcgee Eye Institute 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 Ph: (405) 271-6060 |