Individual
DR. REBECCA LYNN POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
500 N FINANCIAL TER, SUITE A, MUSTANG, OK 73064-4432
(405) 256-0126
(405) 256-0563
Mailing address
1432 N MUSTANG RD STE A, MUSTANG, OK 73064-7214
(405) 256-0126
(405) 256-0563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2430
OK
152WC0802X
Corneal and Contact Management Optometrist
2430
OK
152WL0500X
Low Vision Rehabilitation Optometrist
2430
OK
152WP0200X
Pediatric Optometrist
2430
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063870A
—
OK
05
—
200064830A
—
OK
01
—
OKB5562
MEDICARE GROUP PTAN
OK
Enumeration date
01/18/2006
Last updated
06/12/2024
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