Organization
DRS PECK & PECK PC
Active
Other names
Drs peck and peck pc
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAUL PECK O.D. (PRESIDENT)
(580) 256-6021
Entity
Organization
Contact information
Practice address
1201 10TH ST, WOODWARD, OK 73801-3107
(580) 256-6021
(580) 254-5301
Mailing address
PO BOX 789, WOODWARD, OK 73802-0789
(580) 256-6021
(580) 254-5301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2022
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442703691001
BLUE CROSS BLUE SHEILD OK
OK
Enumeration date
04/16/2007
Last updated
06/26/2009
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