Bret Conner Furnish, O.D.
Individual provider Active NPI Optometrist · Newcastle, OK
NPI 1043391907 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1043391907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2451 (OK)
- Practice address
- 918 NW 32ND St
Newcastle, OK 73065-6605 - Phone
- (405) 387-4884
- Fax
- (405) 387-2772
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayes and Mayes Optometry, PLLC
Practice addresses (Care Compare)
2800 NW 36TH St
Oklahoma City, OK 73112-7477
Phone (405) 943-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051209000718 | OK | Practitioner - Optometry | 9335171008 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2451 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Associates, P.L.L.C. | Optometrist | Current |
Accepting new patients |
| Mayes & Mayes Optometry, PLLC | Optometrist | Current |
Accepting new patients |
Locations
4250 NW Cache Rd
Lawton, OK 73505
Phone (580) 248-0061
918 NW 32nd St
Newcastle, OK 73065
Phone (405) 387-4011
2800 NW 36th St
Ste 100
Oklahoma City, OK 73112
2800 NW 36th St
Oklahoma City, OK 73112
Phone (405) 601-4303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2451 | OK | Yes |
Addresses
Primary practice location
918 NW 32ND St
Newcastle, OK 73065-6605
Mailing address
918 NW 32ND St
Newcastle, OK 73065-6605
Phone (405) 387-4884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200062350A | Medicaid | OK |
Other providers in Newcastle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.