Organization
SHAWNEE EYE ASSOCIATES, PLLC
Active
Other names
Shawnee Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR CONKLIN MD (OWNER/PARTNER)
(405) 275-7676
Entity
Organization
Contact information
Practice address
100 E 45TH ST, SHAWNEE, OK 74804-1439
(405) 275-7676
(405) 275-6837
Mailing address
100 E 45TH ST, SHAWNEE, OK 74804-1439
(405) 275-7676
(405) 275-6837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2690
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200350320A
—
OK
Enumeration date
09/22/2014
Last updated
09/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us