Legacy Eye Care Pllc - Medicare Optometrist in Yukon, OK

Legacy Eye Care Pllc is a medicare enrolled "Optometrist" provider in Yukon, Oklahoma. Their current practice location is 1207 Cornwell Dr, Yukon, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (405) 354-3384.

Legacy Eye Care Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Eye Care Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1225647415.

Contact Information

Legacy Eye Care Pllc
1207 Cornwell Dr,
Yukon, OK 73099-4633
(405) 354-3384
Not Available



Healthcare Provider's Profile

Full NameLegacy Eye Care Pllc
TypeFacility
SpecialityOptometrist
Location1207 Cornwell Dr, Yukon, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225647415
  • Provider Enumeration Date: 07/24/2020
  • Last Update Date: 07/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426476078
  • Enrollment ID: O20200914001104

Medical Identifiers

Medical identifiers for Legacy Eye Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225647415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Eye Care Pllc acts as a billing entity for following providers:
Provider NameKyle Glenn Henderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780069609
PECOS PAC ID: 4082929534
Enrollment ID: I20150813010021

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Legacy Eye Care Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Eye Care Pllc
10001 Aberdeen Ln,
Yukon, OK 73099-7644

Ph: (918) 207-6276
Legacy Eye Care Pllc
1207 Cornwell Dr,
Yukon, OK 73099-4633

Ph: (405) 354-3384

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Optometrist in Yukon, OK

Oklahoma Eye Specialist Pllc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Wheatfield Ave, Yukon, OK 73099
Phone: 405-308-3430    
Michael Joseph Hampton, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1604 Professional Cir, Yukon, OK 73099
Phone: 405-354-3624    Fax: 405-350-7512
Total Optical Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4400 Grant Blvd, Suite 106, Yukon, OK 73099
Phone: 405-603-4744    
Dr. John Mace, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: Ultimate Vision, 334 S. Mustang Rd, Yukon, OK 73099
Phone: 405-324-0001    Fax: 405-324-0015
Dr. Valerie Ridgena Hatley, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Main St, Yukon, OK 73099
Phone: 405-354-2788    
Dr. David Charles Brewer, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1207 S Cornwell Dr, Yukon, OK 73099
Phone: 405-354-3384    Fax: 405-354-0703

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