Poage, Rebecca Lynn

Poage, Rebecca Lynn is an individual health care provider with primary practice located at 500 N Financial Ter Suite A, Mustang OK 73064-4432. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Poage, Rebecca Lynn can be contacted via phone (405) 256-0126.

Contact Information

Primary practice address
500 N Financial Ter Suite A Mustang OK 73064-4432
Phone: (405) 256-0126
Fax: (405) 256-0563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2430 Oklahoma
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 2430 Oklahoma
Eye and Vision Services Providers / Pediatrics 152WP0200X 2430 Oklahoma
Eye and Vision Services Providers / Optometrist 152W00000X 2430 Oklahoma

Profile Details

NPI number 1245210020
LBN Legal business name Poage, Rebecca Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jun 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245210020 NPPES
Oklahoma Other OKB5562 MEDICARE GROUP PTAN
Oklahoma MEDICAID 200064830A MEDICARE GROUP PTAN
Oklahoma MEDICAID 200063870A MEDICARE GROUP PTAN

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