Individual
DR. MICHAEL LLOYD PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2318 N OAKWOOD RD, ENID, OK 73703-1490
(580) 242-2300
(580) 233-7370
Mailing address
2318 N OAKWOOD RD, ENID, OK 73703-1490
(580) 242-2300
(580) 233-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1058
OK
156FX1800X
Optician
1058
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0582320001
PALMETTO
OK
05
—
100765010B
—
OK
01
—
410001137
R.R. MEDICARE
OK
01
—
730794467004
BCBSOK
OK
Enumeration date
08/04/2006
Last updated
12/09/2024
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