| Guthrie Vision Source Pc, Inc. | |
|
110 E Harrison Ave, Guthrie, OK 73044-4839 | |
| (405) 282-4396 | |
| (405) 282-8298 |
| Full Name | Guthrie Vision Source Pc, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 110 E Harrison 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 |
|---|---|---|---|
| 1982625703 | NPI | - | NPPES |
| DC6377 | Other | OK | RR MEDICARE |
| 100759960A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Oklahoma) | Primary |
| 332H00000X | Eyewear Supplier | (Oklahoma) | Secondary |
| Provider Name | Michael E Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558473868 PECOS PAC ID: 7911804034 Enrollment ID: I20031217000386 |
| Provider Name | Brian A Padgham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073611505 PECOS PAC ID: 0244237717 Enrollment ID: I20061025000392 |
| Provider Name | Terri L Steddum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093905614 PECOS PAC ID: 3274613047 Enrollment ID: I20080107000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Guthrie Vision Source Pc, Inc. 110 E Harrison Ave, Guthrie, OK 73044-4839 Ph: (405) 282-4396 | Guthrie Vision Source Pc, Inc. 110 E Harrison Ave, Guthrie, OK 73044-4839 Ph: (405) 282-4396 |
Guthrie Eye Care Clinic, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2114 W Noble Ave, Guthrie, OK 73044 Phone: 405-260-2020 Fax: 405-282-8886 | |
Brian A. Padgham, O. D. Optometrist Medicare: Accepting 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 | |
Terri Steddum, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 E Harrison Ave, Guthrie, OK 73044 Phone: 405-282-4396 Fax: 405-282-7033 | |
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: Accepting 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 |