Beatty-jtjv Llc | |
305 E Broadway St, Sand Springs, OK 74063-7910 | |
(918) 245-2020 | |
(918) 245-2010 |
Full Name | Beatty-jtjv Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 305 E Broadway St, Sand Springs, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093531766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | James Thirion |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093157281 PECOS PAC ID: 9133363856 Enrollment ID: I20130919000595 |
Provider Name | Alfonso Hernandez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205314572 PECOS PAC ID: 7113359191 Enrollment ID: I20191113000042 |
Provider Name | William Martin Grovenburg |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336820547 PECOS PAC ID: 2062954076 Enrollment ID: I20240605003820 |
Mailing Address | Practice Location Address |
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Beatty-jtjv Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Beatty-jtjv Llc 305 E Broadway St, Sand Springs, OK 74063-7910 Ph: (918) 245-2020 |
Success Vision Express Of Sand Springs, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 230 S Highway 97 Ste B, Sand Springs, OK 74063 Phone: 918-241-2020 Fax: 918-241-0215 | |
Sand Springs Primary Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Broadway St, Sand Springs, OK 74063 Phone: 918-245-2020 | |
Dr. Mark A Manahan, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 305 E Broadway St, Sand Springs, OK 74063 Phone: 918-245-2020 Fax: 918-245-2010 | |
Laura K Riggins Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 401 N Mckinley Ave, Sand Springs, OK 74063 Phone: 918-245-9546 Fax: 918-245-9547 | |
Mark A. Manahan, O.d., Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 305 E Broadway St, Sand Springs, OK 74063 Phone: 918-245-2020 Fax: 918-245-2010 | |
Laura Kathryn Riggins, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 N Mckinley Ave, Sand Springs, OK 74063 Phone: 918-245-9546 Fax: 918-245-9547 |