| Dr Darin Michael Shupert, OD | |
|
124 Se Ave N, Idabel, OK 74745-5234 | |
| (580) 286-2020 | |
| (580) 286-2305 |
| Full Name | Dr Darin Michael Shupert |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 33 Years |
| Location | 124 Se Ave N, Idabel, 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 |
|---|---|---|---|
| 1740378710 | NPI | - | NPPES |
| 100765040A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2082 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Med Southwest Pllc | 4082952874 | 203 |
| Provider Name | Med Southwest Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174089478 PECOS PAC ID: 4082952874 Enrollment ID: O20190411000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Darin Michael Shupert, OD 124 Se Ave N, Idabel, OK 74745-5234 Ph: (580) 286-2020 | Dr Darin Michael Shupert, OD 124 Se Ave N, Idabel, OK 74745-5234 Ph: (580) 286-2020 |
Texarkana Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1425 E Lincoln Rd, Suite A-1, Idabel, OK 74745 Phone: 580-286-6000 Fax: 903-831-6145 | |
Dr. Joshua M Golden, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 902 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-2600 | |
Med Southwest Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1425 E Lincoln Rd Ste A1, Idabel, OK 74745 Phone: 580-286-6000 Fax: 580-286-6015 | |
Idabel Pv Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2020 S E Washington, Idabel, OK 74745 Phone: 903-329-5051 Fax: 903-329-5053 | |
Dr. Laura Rush, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 902 Lincoln Road, Idabel, OK 74745 Phone: 580-286-2600 |