Organization
SCOTT K. MCEACHERN, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT K. MCEACHERN O.D. (OWNER)
(580) 237-4772
Entity
Organization
Contact information
Practice address
1220 W WILLOW RD, SUITE B, ENID, OK 73703-2511
(580) 237-4772
(580) 237-4841
Mailing address
1220 W WILLOW RD, SUITE B, ENID, OK 73703-2511
(580) 237-4772
(580) 237-4841
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2138
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467535849
INDIVIDUAL NPI
OK
01
—
446729405001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
02/22/2008
Last updated
02/22/2008
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