Michael L Peck

NPI #1306034830 in Enid, Oklahoma

Provider Information

NPI Number: 1306034830
Entity Type: Organization
Organization Name: Michael L Peck
Primary Specialty: Optometrist
Enumeration Date: Oct 10, 2007
Last Updated: Aug 26, 2008

Practice Location

Address: 517 W MAINE AVE
City: Enid
State: Oklahoma
ZIP Code: 73701-5542
Phone: (580) 242-2300

Authorized Official

Name: DR. MICHAEL L PECK, O.D.
Title: OPTOMETRIST
Phone: (580) 242-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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