| Guthrie Eye Care Clinic, Inc. | |
|
2114 W Noble Ave, Guthrie, OK 73044-2116 | |
| (405) 260-2020 | |
| (405) 282-8886 |
| Full Name | Guthrie Eye Care Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2114 W Noble Ave, Guthrie, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063415396 | NPI | - | NPPES |
| 043728001 | Other | DMERC | |
| 100745070A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2032 (Oklahoma) | Secondary |
| 152W00000X | Optometrist | 1193 (Oklahoma) | Primary |
| Provider Name | Douglas Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417950775 PECOS PAC ID: 5193839587 Enrollment ID: I20120224000793 |
| Provider Name | Lisa Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942203203 PECOS PAC ID: 5890802649 Enrollment ID: I20120224000803 |
| Provider Name | Kayla Nicole Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093395147 PECOS PAC ID: 9537563028 Enrollment ID: I20210805000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Guthrie Eye Care Clinic, Inc. 2114 W Noble Ave, Guthrie, OK 73044-2116 Ph: (405) 260-2020 | Guthrie Eye Care Clinic, Inc. 2114 W Noble Ave, Guthrie, OK 73044-2116 Ph: (405) 260-2020 |
Brian A. Padgham, O. D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-8298 | |
Dr. Kayla Nicole Cook, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 | |
Dr. Douglas Todd Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 | |
Michael E. Bennett, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-8298 | |
Dr. Lisa Marie Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 |