Eyecare Boulevard, P.l.l.c. | |
7314 N Western Ave, Oklahoma City, OK 73116-7120 | |
(405) 437-0763 | |
(405) 437-0764 |
Full Name | Eyecare Boulevard, P.l.l.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 7314 N Western Ave, 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 |
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1437697364 | NPI | - | NPPES |
200751820A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2773 (Oklahoma) | Primary |
Provider Name | My Thuy Dinh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902248446 PECOS PAC ID: 5092025957 Enrollment ID: I20151104001823 |
Mailing Address | Practice Location Address |
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Eyecare Boulevard, P.l.l.c. 9777 N Council Rd, Apt 1124, Oklahoma City, OK 73162-5500 Ph: (405) 473-2899 | Eyecare Boulevard, P.l.l.c. 7314 N Western Ave, Oklahoma City, OK 73116-7120 Ph: (405) 437-0763 |
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312 | |
Jenna Vergeldt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017 |