| The Eye Site, Pllc | |
|
921 Oklahoma Blvd Ste A, Alva, OK 73717-2631 | |
| (580) 732-2393 | |
| Not Available |
| Full Name | The Eye Site, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 921 Oklahoma Blvd Ste A, Alva, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710488275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 2861 (Oklahoma) | Secondary |
| 152W00000X | Optometrist | 2861 (Oklahoma) | Primary |
| Provider Name | Callie A Mosburg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912382441 PECOS PAC ID: 6406162338 Enrollment ID: I20150908002459 |
| Mailing Address | Practice Location Address |
|---|---|
| The Eye Site, Pllc 502 Myers Dr, Alva, OK 73717-3504 Ph: (580) 732-2393 | The Eye Site, Pllc 921 Oklahoma Blvd Ste A, Alva, OK 73717-2631 Ph: (580) 732-2393 |
Trina D Piper-hughbanks, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 410 4th St Ste D, Alva, OK 73717 Phone: 580-327-3335 | |
Dr. Callie Mosburg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 921 Oklahoma Blvd Ste A, Alva, OK 73717 Phone: 580-748-8007 Fax: 580-748-8018 | |
Trina Piper-hughbanks O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 410 4th St Ste D, Alva, OK 73717 Phone: 580-327-3335 |