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MICHAEL L PECK NPI 1306034830


NPI Information

NPI: 1306034830
Provider Name: MICHAEL L PECK
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
517 W MAINE AVE
ENID, OK
ZIP 73701
Phone: (580) 242-2300
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MICHAEL L PECK is an optometrist in Enid, OK. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. MICHAEL L PECK NPI is 1306034830. The provider is registered as an organization entity type.

The provider's business location address is:

517 W MAINE AVE
ENID, OK
ZIP 73701-542
Phone: (580) 242-2300
Fax: (580) 233-7370

The provider's authorized official is Michael L Peck .
The authorized official title is Optometrist and has the following contact phone number (580) 242-2300.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 8/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier1058OKLAHOMANo
2152W00000XOptometrist1058OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1410001137OTHEROKLAHOMARAILROAD MEICARE
2800522342OTHEROKLAHOMAMEDICARE GROUP
3730794467004OTHERBLUECROSS BLUESHEILD
40582320001MEDICARE NSCOKLAHOMA
5100765010BMEDICAIDOKLAHOMA
6DA7479OTHEROKLAHOMARAILROAD MEDICARE GROUP
7T40604MEDICARE UPINOKLAHOMA
8248410301MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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