| Dr Gary Jay Lavalley, OD | |
|
900 W Main St, Henryetta, OK 74437-4252 | |
| (918) 652-2345 | |
| (918) 652-2537 |
| Full Name | Dr Gary Jay Lavalley |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 33 Years |
| Location | 900 W Main St, Henryetta, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285676205 | NPI | - | NPPES |
| 410003624 | Other | OK | RAIL ROAD MEDICARE |
| P00626582 | Other | OK | RAILROAD MEDICARE |
| 100764630A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2071 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henryetta Eye Center | 4880764489 | 3 |
| Holdenville Eye Center Pllc | 6305143009 | 2 |
| Provider Name | Henryetta Eye Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174727622 PECOS PAC ID: 4880764489 Enrollment ID: O20080609000764 |
| Provider Name | Holdenville Eye Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558734970 PECOS PAC ID: 6305143009 Enrollment ID: O20160323002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Jay Lavalley, OD 900 W Main St, Henryetta, OK 74437-4252 Ph: (918) 652-2345 | Dr Gary Jay Lavalley, OD 900 W Main St, Henryetta, OK 74437-4252 Ph: (918) 652-2345 |
Henryetta Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537 | |
Dr. Hayden Dean Black, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 | |
Mrs. Sarah Elizabeth Mulliniks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537 | |
Lavalley Vision Care, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537 | |
Gary Jay Lavalley, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537 | |
Dr. Michael L Brian, OD Optometrist Medicare: Medicare Enrolled Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537 |