Individual
DR. WALTER PRESLEY MEGOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
916 E 8TH ST, OKMULGEE, OK 74447-4724
(918) 756-2124
(918) 756-3865
Mailing address
PO BOX 610, OKMULGEE, OK 74447-0610
(918) 756-2124
(918) 756-3865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK880
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761970A
—
OK
01
—
410038339
RAILROAD MEDICARE PTAN
OK
01
—
730950703001
BC/BS
—
Enumeration date
12/15/2006
Last updated
02/11/2013
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