| Lakeside Eyecare Llc | |
|
485 S Elm St, Oologah, OK 74053-3017 | |
| (918) 842-3937 | |
| (539) 664-9581 |
| Full Name | Lakeside Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 485 S Elm St, Oologah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659123081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Monte Harrel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740288414 PECOS PAC ID: 6608837620 Enrollment ID: I20041213000004 |
| Provider Name | Denise Burns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982011912 PECOS PAC ID: 3173828670 Enrollment ID: I20160222001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Eyecare Llc 485 S Elm St, Oologah, OK 74053-3017 Ph: (918) 842-3937 | Lakeside Eyecare Llc 485 S Elm St, Oologah, OK 74053-3017 Ph: (918) 842-3937 |
Dr. Monte Elvin Harrel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 485 S Elm St., Oologah, OK 74053 Phone: 918-842-3937 Fax: 539-664-9581 | |
Dr. Denise Burns, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 485 S. Elm St., Oologah, OK 74053 Phone: 918-842-3937 Fax: 539-664-9581 |