MEDICARE: COLLINSVILLE PRIMARY EYECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1699304469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLINSVILLE PRIMARY EYECARE

Provider Business Mailing Address
First Line	:	PO BOX 123
Second Line	:
City	:	COLLINSVILLE
State	:	OK
Zip	:	74021-0123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 W CENTER ST
Second Line	:
City	:	COLLINSVILLE
State	:	OK
Zip	:	74021-3108
Country	:	US
Telephone Number	:	918-371-3339
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAMES THIRION
Credential	:	OD
Telephone Number	:	918-841-9061

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	04/03/2020

Similar Medicare Providers

1518907765 — DR. LEONARD DUANE HART O.D.
Practice Location Address:

1103 W CENTER ST
COLLINSVILLE, OK
74021-3108

Practice Phone: 918-371-3339
Practice Fax: 918-371-9600

1710025697 — LEN D. HART, P.C.
Practice Location Address:

1103 W CENTER ST
COLLINSVILLE, OK
74021-3108

Practice Phone: 918-371-3339
Practice Fax: 918-371-9600

1336820547 — WILLIAM MARTIN GROVENBURG OD
Practice Location Address:

1103 W CENTER ST
COLLINSVILLE, OK
74021-3108

Practice Phone: 918-371-3339
Practice Fax:

1467278135 — BEATTY-JTJV LLC
Practice Location Address:

1103 W CENTER ST
COLLINSVILLE, OK
74021-3108

Practice Phone: 918-371-3339
Practice Fax: 918-371-9600

1881557775 — KOA BEHAVIORAL HEALTH LLC
Practice Location Address:

11917 N 130TH EAST AVE
COLLINSVILLE, OK
74021-1103

Practice Phone: 808-348-5397
Practice Fax:

1801890454 — DR. JERRY D. PATTON DO
Practice Location Address:

1205 W MAIN ST
COLLINSVILLE, OK
74021-3114

Practice Phone: 918-938-0040
Practice Fax: 918-938-0056

Directions to “COLLINSVILLE PRIMARY EYECARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.