| Dr Dakota Smith Waldroop, OD | |
|
1 Choctaw Way, Talihina, OK 74571-2022 | |
| (918) 457-7000 | |
| Not Available |
| Full Name | Dr Dakota Smith Waldroop |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 16 Years |
| Location | 1 Choctaw Way, Talihina, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346471711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2628 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| Pushmataha Family Medical Center, Inc | 9537189261 | 13 |
| Provider Name | Choctaw Nation Of Oklahoma |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dakota Smith Waldroop, OD 2008 Choctaw Rdg, Talihina, OK 74571-2040 Ph: (918) 567-7000 | Dr Dakota Smith Waldroop, OD 1 Choctaw Way, Talihina, OK 74571-2022 Ph: (918) 457-7000 |
Mr. Olin W Fenton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Dallas St, Talihina, OK 74571 Phone: 918-567-3424 Fax: 918-567-3420 | |
North East Family Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Dallas St, Talihina, OK 74571 Phone: 903-244-2889 Fax: 918-567-3240 | |
Dr. Michael Glenn Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 |