| Dr Michael L Brian, OD | |
|
900 W Main St, Henryetta, OK 74437-4252 | |
| (918) 652-2345 | |
| (918) 652-2537 |
| Full Name | Dr Michael L Brian |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 900 W Main St, Henryetta, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790726842 | NPI | - | NPPES |
| 100763680A | Medicaid | OK | |
| 410036906 | Other | OK | RAIL ROAD MEDICARE |
| P00711249 | Other | OK | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1024 (Oklahoma) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Brian, OD 900 W Main St, Henryetta, OK 74437-4252 Ph: (918) 652-2345 | Dr Michael L Brian, 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 | |
Dr. Gary Jay Lavalley, O.D. 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 |