| Stillwater Ophthalmology And Retina, Pllc | |
|
707 S Western Rd Stillwater OK 74074-4126 | |
| (417) 350-4390 | |
| Not Available |
| Full Name | Stillwater Ophthalmology And Retina, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 707 S Western Rd, Stillwater, Oklahoma |
| Authorized Official Name and Position | Rich Frech (ADMINISTRATOR) |
| Authorized Official Contact | 4173504390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Ophthalmology And Retina, Pllc 707 S Western Rd Stillwater OK 74074-4126 Ph: () - | Stillwater Ophthalmology And Retina, Pllc 707 S Western Rd Stillwater OK 74074-4126 Ph: (417) 350-4390 |
| NPI Number | 1780447094 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 5092253385 |
|---|---|
| Medicare Enrollment ID | O20240819000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780447094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Matthew Flood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881950335 PECOS PAC ID: 5597067066 Enrollment ID: I20171031003198 |
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