| Beatty-jtjv Llc | |
|
1103 W Center St, Collinsville, OK 74021-3108 | |
| (918) 371-3339 | |
| (918) 371-9600 |
| Full Name | Beatty-jtjv Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1103 W Center St, Collinsville, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467278135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beatty-jtjv Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Beatty-jtjv Llc 1103 W Center St, Collinsville, OK 74021-3108 Ph: (918) 371-3339 |
William Martin Grovenburg, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 | |
Dr. Leonard Duane Hart, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 | |
Collinsville Primary Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 | |
Len D. Hart, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 |