| Kennedy Eyecare Llc | |
|
1400 Wade Watts Ave, Mcalester, OK 74501 | |
| (918) 429-1400 | |
| (918) 429-1403 |
| Full Name | Kennedy Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1400 Wade Watts Ave, Mcalester, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821343617 | NPI | - | NPPES |
| 200454560A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2160 (Oklahoma) | Primary |
| Provider Name | Courtney K Bratton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043402100 PECOS PAC ID: 2668569922 Enrollment ID: I20071102000280 |
| Provider Name | Craig Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992768113 PECOS PAC ID: 2264571181 Enrollment ID: I20091204000487 |
| Provider Name | Nattali N Masson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588273080 PECOS PAC ID: 5294153474 Enrollment ID: I20200921001731 |
| Provider Name | Anna Paige Million |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699404277 PECOS PAC ID: 3375929441 Enrollment ID: I20220928000659 |
| Provider Name | Michael Alex Million |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568107209 PECOS PAC ID: 6608252416 Enrollment ID: I20221003000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Eyecare Llc 1400 Wade Watts Ave, Mcalester, OK 74501 Ph: (918) 429-1400 | Kennedy Eyecare Llc 1400 Wade Watts Ave, Mcalester, OK 74501 Ph: (918) 429-1400 |
Triad Eye Institute Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Wyandotte Ave, Mcalester, OK 74501 Phone: 918-302-9232 | |
Brian Ayres, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Wyandotte Ave, Mcalester, OK 74501 Phone: 918-302-9232 | |
Michael Alex Million, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1400 E Wade Watts Ave, Mcalester, OK 74501 Phone: 918-429-1400 | |
F E Smith O D Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 401 E Cherokee Ave, Mcalester, OK 74501 Phone: 918-423-3043 Fax: 918-420-5705 | |
Anna Paige Million, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1400 E Wade Watts Ave, Mcalester, OK 74501 Phone: 918-429-1400 | |
Andrea Nicole Mazzare, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 N 5th St, Mcalester, OK 74501 Phone: 918-426-0106 Fax: 918-426-0443 | |
Dr. Carolyn S Edwards, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 602 S 3rd St, Mcalester, OK 74501 Phone: 918-423-2031 Fax: 918-423-2115 |