| Doctor Name: | DR. MICHAEL LLOYD PECK |
| NPI Number: | 1023026176 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 1058 |
| Business Practice Address: | 517 W Maine Ave Enid, OK - 737015542 |
| Business Phone Number: | 5802422300 |
| Business Fax Number: | 5802337370 |
| Mailing Address: | 517 W Maine Ave, ENID |
| State: | OK |
| Postal Code: | 737015542 |
| Phone Number: | 5802422300 |
| Fax Number: | 5802337370 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 12/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 1058 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |