| Eyecare Of Grand Lake Pllc | |
|
720 S Main St, Grove, OK 74344-2841 | |
| (918) 791-6600 | |
| Not Available |
| Full Name | Eyecare Of Grand Lake Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 720 S Main St, Grove, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932774189 | NPI | - | NPPES |
| 200656200A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Burness R Yandell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962442848 PECOS PAC ID: 6305923897 Enrollment ID: I20080408000619 |
| Provider Name | Jordan Barnwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205389566 PECOS PAC ID: 7517253966 Enrollment ID: I20160910000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Of Grand Lake Pllc 720 S Main St, Grove, OK 74344 Ph: (918) 791-6600 | Eyecare Of Grand Lake Pllc 720 S Main St, Grove, OK 74344-2841 Ph: (918) 791-6600 |
Dr. Robert Franklyn Burke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1105 S Main St, Grove, OK 74344 Phone: 918-786-2254 Fax: 918-786-2114 | |
Meb, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1105 S Main St, Grove, OK 74344 Phone: 918-786-2254 | |
Burke Eyecare, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1105 S Main St, Grove, OK 74344 Phone: 918-786-2254 | |
Grove Eye Center Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1013 S Main St, Grove, OK 74344 Phone: 918-786-9777 Fax: 918-786-8458 | |
Lt Lantz Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1105 S Main St, Grove, OK 74344 Phone: 918-786-2254 Fax: 918-786-2114 | |
Ramie Lay, Od Pc Dba Grove Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 1013 South Main, Grove, OK 74344 Phone: 918-639-7692 | |
Paige Nitz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1013 S Main St, Grove, OK 74344 Phone: 918-786-9777 |