Matt Grantham, Od, Pc is a medicare enrolled "Optometrist" provider in Wilburton, Oklahoma. Their current practice location is
218 W Main St, Wilburton, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(918) 465-3780.
Matt Grantham, Od, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Matt Grantham, Od, Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124174966.
Healthcare Provider's Profile
Full Name | Matt Grantham, Od, Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 218 W Main St, Wilburton, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124174966
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234346677
- Enrollment ID: O20100930006180
Medical Identifiers
Medical identifiers for Matt Grantham, Od, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124174966 | NPI | - | NPPES |
200090590A | Medicaid | OK | |
100851340A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matt Grantham, Od, Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Matt Grantham, Od, Pc 218 W Main St, Wilburton, OK 74578-4046 Ph: (918) 465-3780 | Matt Grantham, Od, Pc 218 W Main St, Wilburton, OK 74578-4046 Ph: (918) 465-3780 |
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