| Mr Olin W Fenton, OD | |
|
200 Dallas St, Talihina, OK 74571-2402 | |
| (918) 567-3424 | |
| (918) 567-3420 |
| Full Name | Mr Olin W Fenton |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 22 Years |
| Location | 200 Dallas St, Talihina, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164416574 | NPI | - | NPPES |
| 81289Q | Other | TX | TEXAS BCBS PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6474TG (Texas) | Secondary |
| 152W00000X | Optometrist | 2417 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| Pushmataha Family Medical Center, Inc | 9537189261 | 13 |
| Provider Name | Choctaw Nation Of Oklahoma |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Olin W Fenton, OD 200 Dallas St, Talihina, OK 74571-2402 Ph: (918) 567-3424 | Mr Olin W Fenton, OD 200 Dallas St, Talihina, OK 74571-2402 Ph: (918) 567-3424 |
North East Family Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Dallas St, Talihina, OK 74571 Phone: 903-244-2889 Fax: 918-567-3240 | |
Dr. Dakota Smith Waldroop, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-457-7000 | |
Dr. Michael Glenn Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 |