| Massengale Eye Care, Pllc | |
|
2828 N Broadway St, Moore, OK 73160-4304 | |
| (405) 631-2020 | |
| (405) 631-2114 |
| Full Name | Massengale Eye Care, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2828 N Broadway St, Moore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265726301 | NPI | - | NPPES |
| 100761620A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1089 (Oklahoma) | Primary |
| Provider Name | Curt L Massengale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992729909 PECOS PAC ID: 9234302563 Enrollment ID: I20111110000250 |
| Provider Name | Jason Vinh Nguyen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679000749 PECOS PAC ID: 5890047898 Enrollment ID: I20210722000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Massengale Eye Care, Pllc 2828 N Broadway St, Moore, OK 73160-4304 Ph: (405) 631-2020 | Massengale Eye Care, Pllc 2828 N Broadway St, Moore, OK 73160-4304 Ph: (405) 631-2020 |
Orlando A Diaz Jr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 660 Sw 19th St Ste G, Moore, OK 73160 Phone: 405-794-0176 Fax: 405-794-0176 | |
L Mayes, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 705 Sw 19th St Ste 160b, Moore, OK 73160 Phone: 405-790-0393 Fax: 405-790-0395 | |
Dr. Elizabeth Lorayne Burkhart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2909 S Telephone Rd, Moore, OK 73160 Phone: 405-799-7510 Fax: 405-799-4742 | |
Dr. Gary Lee Wade, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 306 Se 4th St, Moore, OK 73160 Phone: 405-794-2020 Fax: 405-794-3768 | |
Dr. Orlando A Diaz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 660 Sw 19th St Ste G, Moore, OK 73160 Phone: 405-794-0176 | |
Max D Venard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 705 City Ave, Moore, OK 73160 Phone: 405-794-7544 Fax: 405-794-7599 |