Dr. Michael Lloyd Peck
Optometrist Optician
517 W Maine Ave
Enid
, Oklahoma 73701-5542
Dr. Michael Lloyd Peck
Optometrist Optician
517 W Maine Ave
Enid
, Oklahoma 73701-5542
(580) 233-7370
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About
Features
Specialties
- Optometrist
- Optician
Languages spoken
- English
Location
First Address
- Dr. Michael Lloyd Peck
- 517 W Maine Ave
- Enid, OK
- Zip : 73701-5542
- Fax : (580) 233-7370
- Phone : (580) 242-2300
Second Address
- Dr. Michael Lloyd Peck
- 517 W Maine Ave
- Enid, OK
- Zip : 73701-5542
- Fax : (580) 233-7370
- Phone : (580) 242-2300
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Is Dr. Michael Lloyd Peck a sole practitioner?
Is Dr. Michael Lloyd Peck accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1058 | OK |
| N | 156FX1800X | Optician | 1058 | OK |
National Provider Identifier
| NPI | 1023026176 |
|---|---|
| Provider Name | Dr. Michael Lloyd Peck |
| First Address | Enid, OK 73701-5542 |
| Second Address | Enid, OK 73701-5542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 28/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0582320001 | PALMETTO (01) | OK |
| 100765010B | (05) | OK |
| 410001137 | R.R. MEDICARE (01) | OK |
| 730794467004 | BCBSOK (01) | OK |
| T40604 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.