Unknown Individual – Optometrist, NPI 1548291065
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
501, East MacArthur Street, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 748042201
Phone: (405) 275-7400
Fax: (405) 275-7401
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | OK | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 54 | 47 |
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