provider guide 2004 - ebd · check ebc’s new website at . on the website: 1. a list of state...
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PARK HARVEY CENTER 200 NORTH HARVEY SUITE 1200 OKLAHOMA CITY OK 73102-4003 405-232-1190mdash1-800-219-8115
Visit our website wwwebcstateokus
JANUARY 1 2004 through DECEMBER 31 2004
ZIP CODE REFERENCE GUIDE for HMOs
HMO PRIMARY CARE PHYSICIAN (PCP) REFERENCE GUIDE
HMO HOSPITAL REFERENCE GUIDE
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
VISION PLAN PROVIDER REFERENCE GUIDE NOTE HEALTHCHOICE providers are not included in this booklet To inquire about a HealthChoice provider call 1-800-752-9475 or visit their website at wwwhealthchoiceokcom
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RESOURCES FOR HELP WITH ENROLLMENT Check EBCrsquos new website at wwwebcstateokus ON THE WEBSITE
1 A list of State Agency Benefit Coordinators is provided for your convenience under Benefits Benefits Information
2 Available are other forms for enrollment such as
the Student Status Spousal Exclusion etc
3 For Online Enrollment submit an authorization form to your Benefits Coordinator then refer to your yellow TIP SHEET for help also available is the HELP BUTTON on the BAS Enrollment screens
4 For the Health Dental and Vision Planrsquos websites
see the list on the back of this Provider Guide
5 Your enrollment packet contains other items of interest
NOTE PacifiCarersquos Standard and Alternative Nonstandard HMO both use the same Provider Network
EBC Benefits Department
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC73002 X 73069 X 73120 X 73162 X 74014 X X73003 X 73070 X 73121 X 73163 X 74015 X X73004 X 73071 X 73122 X 73164 X 74016 X X73007 X 73072 X 73123 X 73165 X 74017 X X73008 X 73073 X 73124 X 73167 X 74018 X X73010 X 73077 X 73125 X 73169 X 74019 X73011 X 73078 X 73126 X 73170 X 74020 X X73013 X 73079 X 73127 X 73172 X 74021 X X73014 X 73080 X 73128 X 73173 X 74022 X73016 X 73083 X 73129 X 73177 X 74023 X X73018 X 73084 X 73130 X 73178 X 74026 X73019 X 73085 X 73131 X 73179 X 74027 X73020 X 73089 X 73132 X 73180 X 74028 X X73022 X 73090 X 73134 X 73184 X 74029 X73026 X 73092 X 73135 X 73185 X 74030 X X73027 X 73093 X 73136 X 73189 X 74031 X X73028 X 73095 X 73137 X 73190 X 74032 X X73031 X 73097 X 73139 X 73193 X 74033 X X73034 X 73099 X 73140 X 73194 X 74034 X73036 X 73101 X 73141 X 73195 X 74035 X X73037 X 73102 X 73142 X 73196 X 74036 X X73044 X 73103 X 73143 X 73197 X 74037 X X73045 X 73104 X 73144 X 73198 X 74038 X X73049 X 73105 X 73145 X 73199 X 74039 X X73050 X 73106 X 73146 X 73757 X 74041 X X73051 X 73107 X 73147 X 73762 X 74042 X73054 X 73108 X 73148 X 74001 X 74043 X X73056 X 73109 X 73149 X 74002 X X 74044 X X73057 X 73110 X 73150 X 74003 X 74045 X73058 X 73111 X 73151 X 74004 X 74046 X X73059 X 73112 X 73152 X 74005 X 74047 X X73061 X 73113 X 73153 X 74006 X 74048 X73063 X 73114 X 73154 X 74008 X X 74050 X X73064 X 73115 X 73155 X 74009 X 74051 X73065 X 73116 X 73156 X 74010 X X 74052 X X73066 X 73117 X 73157 X 74011 X X 74053 X X73067 X 73118 X 73159 X 74012 X X 74054 X X73068 X 73119 X 73160 X 74013 X X 74055 X X
CAUTION The Employees Benefits Council HMO Zip Code Guide is designed to assist you in your enrollment CHANGES HAVE OCCURRED IN SOME HMOS ZIP CODE SERVICE AREAS Before enrolling in any one of the two (2) HMOs please verify that it is available in a zip code where you live or where you work To change PCPs midyear you must call your HMO
ZIP CODE REFERENCE GUIDE FOR HMOsfor Plan Year 2004
January 1 2004 through December 31 2004
LEGEND COM=CommunityCare HMO PAC=PacifiCare HMO X=Eligible zip for that HMO
EBC
mployeesenefitsouncil
BenefitsPY2004rg 1
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74056 X 74130 X X 74345 X 74450 X 74565 X74058 X 74131 X X 74346 X 74451 X 74567 X74059 X X 74132 X X 74347 X 74452 X 74571 X74060 X X 74133 X X 74349 X X 74454 X X 74574 X74061 X X 74134 X X 74350 X X 74455 X 74577 X74062 X X 74135 X X 74352 X X 74456 X X 74578 X74063 X X 74136 X X 74353 X X 74457 X 74604 X74066 X X 74137 X X 74354 X 74458 X X 74630 X74067 X X 74141 X X 74355 X 74459 X 74633 X74068 X X 74145 X X 74358 X 74460 X X 74637 X74070 X X 74146 X X 74359 X 74461 X 74644 X74071 X X 74147 X X 74360 X 74462 X 74650 X74072 X 74148 X X 74361 X X 74463 X 74651 X74073 X X 74149 X X 74362 X X 74464 X 74652 X74074 X X 74150 X X 74363 X 74465 X 74727 X74075 X X 74152 X X 74364 X X 74466 X X 74735 X74076 X X 74153 X X 74365 X X 74467 X X 74738 X74077 X 74155 X X 74366 X X 74468 X 74743 X74078 X 74156 X X 74367 X X 74469 X 74756 X74079 X 74157 X X 74368 X 74470 X 74759 X74080 X X 74158 X X 74369 X 74471 X 74760 X74081 X X 74159 X X 74370 X 74472 X 74761 X74082 X X 74169 X X 74401 X 74477 X X 74801 X74083 X 74170 X X 74402 X 74501 X 74802 X74084 X 74171 X X 74403 X 74502 X 74804 X74085 X X 74172 X X 74421 X X 74521 X 74818 X74100 X 74182 X X 74422 X X 74522 X 74824 X74101 X X 74183 X X 74423 X 74523 X 74826 X74102 X X 74184 X 74425 X 74526 X 74829 X74103 X X 74186 X X 74426 X 74528 X 74830 X74104 X X 74187 X X 74427 X 74529 X 74831 X74105 X X 74189 X X 74428 X 74536 X 74832 X74106 X X 74192 X X 74429 X X 74543 X 74833 X74107 X X 74193 X X 74430 X 74545 X 74834 X74108 X X 74194 X X 74431 X X 74546 X 74835 X74110 X X 74301 X X 74432 X 74547 X 74837 X74112 X X 74330 X X 74434 X 74548 X 74838 X74114 X X 74331 X 74435 X 74549 X 74840 X74115 X X 74332 X 74436 X X 74552 X 74845 X74116 X X 74333 X 74437 X X 74553 X 74849 X74117 X X 74335 X 74438 X 74554 X 74851 X74119 X X 74337 X X 74440 X 74557 X 74852 X74120 X X 74338 X 74441 X 74558 X 74854 X74121 X X 74339 X 74442 X 74559 X 74855 X74126 X X 74340 X X 74444 x 74560 X 74857 X74127 X X 74342 X 74445 X X 74561 X 74859 X74128 X X 74343 X 74446 X X 74562 X 74860 X74129 X X 74344 X 74447 X X 74563 X 74862 X
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Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74864 X 74881 X 74936 X 74946 X 74959 X74866 X 74882 X 74937 X 74947 X 74960 X74867 X 74884 X 74939 X 74948 X 74962 X74868 X 74901 X 74940 X 74949 X 74964 X74869 X 74902 X 74941 X 74951 X 74965 X74873 X 74930 X 74942 X 74953 X 74966 X74875 X 74931 X 74943 X 74954 X74878 X 74932 X 74944 X 74955 X74880 X 74935 X 74945 X 74956 X
ONLINE AND ON THE GO
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCANADIAN ARAMBULA MARTHA PE MD ACANADIAN BOWEN DINA MARIE PE MD ACANADIAN BUNDY JOHN FP MD ACANADIAN COSBY DONNA PE MD ACANADIAN DIEHL MARK FP MD ACANADIAN DRABEK STEVEN FP MD ACANADIAN FRIESE ATHENA FP MD ECANADIAN LIVINGSTON TANYA FP MD ACANADIAN LOCKWOOD ROBERT FP MD ACANADIAN PINAROC NESTOR FP MD ACANADIAN REED EMILY PE MD ACANADIAN SCHWARZ KRISTA FP MD ECANADIAN SHADLE JEFFREY FP MD ACANADIAN SHAKIR SADIQ IM MD ACANADIAN SIPES BILLY FP MD ACANADIAN STUDEBAKER KENT FP MD ACANADIAN THIESSEN HAROLD FP MD ACANADIAN VERNIER STEPHEN FP MD ACHEROKEE ASIM MUHAMMAD IM MD ACHEROKEE BRIXEY JAMES RAY FP DO ACHEROKEE EDWARDS COY J FP MD ACHEROKEE LITTLETON HERBERT R IM DO ACHEROKEE LOFTIN TERESA FP MD ACHEROKEE SIDDIQUE NAVEED PE MD ACHEROKEE TURNER DONN ROGER FP DO ACHEROKEE YOUNGER STEVEN FP MD ACLEVELAND BOHN SHELLEY PE MD ACLEVELAND FANNING JANET FP MD ACLEVELAND FANNING KYLE FP MD ACLEVELAND FETT WILMA IM MD ACLEVELAND HOUNG VIVIAN FP MD ACLEVELAND JOACHIMS BRIAN FP MD ACLEVELAND RATLIFF HANSEL FP MD A
HMO PRIMARY CARE PHYSICIAN REFERENCE GUIDE for Plan Year 2004
January 1 2004 through December 31 2004EBC
mployeesenefitsouncil
LEGENDSPLANS COM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
TYPEFP=Family PracticeGP=General PracticeIM=Internal MedicineOB=ObstetricsGynecologyPE=PediatricianPROVIDER STATUS
A=Accepting new enrollmentsE=Established Patients only (within the same plan)N=Not accepting enrollments now
MDDOMD= Medical DoctorDO= Osteopathic Doctor
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
RESOURCES FOR HELP WITH ENROLLMENT Check EBCrsquos new website at wwwebcstateokus ON THE WEBSITE
1 A list of State Agency Benefit Coordinators is provided for your convenience under Benefits Benefits Information
2 Available are other forms for enrollment such as
the Student Status Spousal Exclusion etc
3 For Online Enrollment submit an authorization form to your Benefits Coordinator then refer to your yellow TIP SHEET for help also available is the HELP BUTTON on the BAS Enrollment screens
4 For the Health Dental and Vision Planrsquos websites
see the list on the back of this Provider Guide
5 Your enrollment packet contains other items of interest
NOTE PacifiCarersquos Standard and Alternative Nonstandard HMO both use the same Provider Network
EBC Benefits Department
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC73002 X 73069 X 73120 X 73162 X 74014 X X73003 X 73070 X 73121 X 73163 X 74015 X X73004 X 73071 X 73122 X 73164 X 74016 X X73007 X 73072 X 73123 X 73165 X 74017 X X73008 X 73073 X 73124 X 73167 X 74018 X X73010 X 73077 X 73125 X 73169 X 74019 X73011 X 73078 X 73126 X 73170 X 74020 X X73013 X 73079 X 73127 X 73172 X 74021 X X73014 X 73080 X 73128 X 73173 X 74022 X73016 X 73083 X 73129 X 73177 X 74023 X X73018 X 73084 X 73130 X 73178 X 74026 X73019 X 73085 X 73131 X 73179 X 74027 X73020 X 73089 X 73132 X 73180 X 74028 X X73022 X 73090 X 73134 X 73184 X 74029 X73026 X 73092 X 73135 X 73185 X 74030 X X73027 X 73093 X 73136 X 73189 X 74031 X X73028 X 73095 X 73137 X 73190 X 74032 X X73031 X 73097 X 73139 X 73193 X 74033 X X73034 X 73099 X 73140 X 73194 X 74034 X73036 X 73101 X 73141 X 73195 X 74035 X X73037 X 73102 X 73142 X 73196 X 74036 X X73044 X 73103 X 73143 X 73197 X 74037 X X73045 X 73104 X 73144 X 73198 X 74038 X X73049 X 73105 X 73145 X 73199 X 74039 X X73050 X 73106 X 73146 X 73757 X 74041 X X73051 X 73107 X 73147 X 73762 X 74042 X73054 X 73108 X 73148 X 74001 X 74043 X X73056 X 73109 X 73149 X 74002 X X 74044 X X73057 X 73110 X 73150 X 74003 X 74045 X73058 X 73111 X 73151 X 74004 X 74046 X X73059 X 73112 X 73152 X 74005 X 74047 X X73061 X 73113 X 73153 X 74006 X 74048 X73063 X 73114 X 73154 X 74008 X X 74050 X X73064 X 73115 X 73155 X 74009 X 74051 X73065 X 73116 X 73156 X 74010 X X 74052 X X73066 X 73117 X 73157 X 74011 X X 74053 X X73067 X 73118 X 73159 X 74012 X X 74054 X X73068 X 73119 X 73160 X 74013 X X 74055 X X
CAUTION The Employees Benefits Council HMO Zip Code Guide is designed to assist you in your enrollment CHANGES HAVE OCCURRED IN SOME HMOS ZIP CODE SERVICE AREAS Before enrolling in any one of the two (2) HMOs please verify that it is available in a zip code where you live or where you work To change PCPs midyear you must call your HMO
ZIP CODE REFERENCE GUIDE FOR HMOsfor Plan Year 2004
January 1 2004 through December 31 2004
LEGEND COM=CommunityCare HMO PAC=PacifiCare HMO X=Eligible zip for that HMO
EBC
mployeesenefitsouncil
BenefitsPY2004rg 1
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74056 X 74130 X X 74345 X 74450 X 74565 X74058 X 74131 X X 74346 X 74451 X 74567 X74059 X X 74132 X X 74347 X 74452 X 74571 X74060 X X 74133 X X 74349 X X 74454 X X 74574 X74061 X X 74134 X X 74350 X X 74455 X 74577 X74062 X X 74135 X X 74352 X X 74456 X X 74578 X74063 X X 74136 X X 74353 X X 74457 X 74604 X74066 X X 74137 X X 74354 X 74458 X X 74630 X74067 X X 74141 X X 74355 X 74459 X 74633 X74068 X X 74145 X X 74358 X 74460 X X 74637 X74070 X X 74146 X X 74359 X 74461 X 74644 X74071 X X 74147 X X 74360 X 74462 X 74650 X74072 X 74148 X X 74361 X X 74463 X 74651 X74073 X X 74149 X X 74362 X X 74464 X 74652 X74074 X X 74150 X X 74363 X 74465 X 74727 X74075 X X 74152 X X 74364 X X 74466 X X 74735 X74076 X X 74153 X X 74365 X X 74467 X X 74738 X74077 X 74155 X X 74366 X X 74468 X 74743 X74078 X 74156 X X 74367 X X 74469 X 74756 X74079 X 74157 X X 74368 X 74470 X 74759 X74080 X X 74158 X X 74369 X 74471 X 74760 X74081 X X 74159 X X 74370 X 74472 X 74761 X74082 X X 74169 X X 74401 X 74477 X X 74801 X74083 X 74170 X X 74402 X 74501 X 74802 X74084 X 74171 X X 74403 X 74502 X 74804 X74085 X X 74172 X X 74421 X X 74521 X 74818 X74100 X 74182 X X 74422 X X 74522 X 74824 X74101 X X 74183 X X 74423 X 74523 X 74826 X74102 X X 74184 X 74425 X 74526 X 74829 X74103 X X 74186 X X 74426 X 74528 X 74830 X74104 X X 74187 X X 74427 X 74529 X 74831 X74105 X X 74189 X X 74428 X 74536 X 74832 X74106 X X 74192 X X 74429 X X 74543 X 74833 X74107 X X 74193 X X 74430 X 74545 X 74834 X74108 X X 74194 X X 74431 X X 74546 X 74835 X74110 X X 74301 X X 74432 X 74547 X 74837 X74112 X X 74330 X X 74434 X 74548 X 74838 X74114 X X 74331 X 74435 X 74549 X 74840 X74115 X X 74332 X 74436 X X 74552 X 74845 X74116 X X 74333 X 74437 X X 74553 X 74849 X74117 X X 74335 X 74438 X 74554 X 74851 X74119 X X 74337 X X 74440 X 74557 X 74852 X74120 X X 74338 X 74441 X 74558 X 74854 X74121 X X 74339 X 74442 X 74559 X 74855 X74126 X X 74340 X X 74444 x 74560 X 74857 X74127 X X 74342 X 74445 X X 74561 X 74859 X74128 X X 74343 X 74446 X X 74562 X 74860 X74129 X X 74344 X 74447 X X 74563 X 74862 X
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Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74864 X 74881 X 74936 X 74946 X 74959 X74866 X 74882 X 74937 X 74947 X 74960 X74867 X 74884 X 74939 X 74948 X 74962 X74868 X 74901 X 74940 X 74949 X 74964 X74869 X 74902 X 74941 X 74951 X 74965 X74873 X 74930 X 74942 X 74953 X 74966 X74875 X 74931 X 74943 X 74954 X74878 X 74932 X 74944 X 74955 X74880 X 74935 X 74945 X 74956 X
ONLINE AND ON THE GO
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCANADIAN ARAMBULA MARTHA PE MD ACANADIAN BOWEN DINA MARIE PE MD ACANADIAN BUNDY JOHN FP MD ACANADIAN COSBY DONNA PE MD ACANADIAN DIEHL MARK FP MD ACANADIAN DRABEK STEVEN FP MD ACANADIAN FRIESE ATHENA FP MD ECANADIAN LIVINGSTON TANYA FP MD ACANADIAN LOCKWOOD ROBERT FP MD ACANADIAN PINAROC NESTOR FP MD ACANADIAN REED EMILY PE MD ACANADIAN SCHWARZ KRISTA FP MD ECANADIAN SHADLE JEFFREY FP MD ACANADIAN SHAKIR SADIQ IM MD ACANADIAN SIPES BILLY FP MD ACANADIAN STUDEBAKER KENT FP MD ACANADIAN THIESSEN HAROLD FP MD ACANADIAN VERNIER STEPHEN FP MD ACHEROKEE ASIM MUHAMMAD IM MD ACHEROKEE BRIXEY JAMES RAY FP DO ACHEROKEE EDWARDS COY J FP MD ACHEROKEE LITTLETON HERBERT R IM DO ACHEROKEE LOFTIN TERESA FP MD ACHEROKEE SIDDIQUE NAVEED PE MD ACHEROKEE TURNER DONN ROGER FP DO ACHEROKEE YOUNGER STEVEN FP MD ACLEVELAND BOHN SHELLEY PE MD ACLEVELAND FANNING JANET FP MD ACLEVELAND FANNING KYLE FP MD ACLEVELAND FETT WILMA IM MD ACLEVELAND HOUNG VIVIAN FP MD ACLEVELAND JOACHIMS BRIAN FP MD ACLEVELAND RATLIFF HANSEL FP MD A
HMO PRIMARY CARE PHYSICIAN REFERENCE GUIDE for Plan Year 2004
January 1 2004 through December 31 2004EBC
mployeesenefitsouncil
LEGENDSPLANS COM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
TYPEFP=Family PracticeGP=General PracticeIM=Internal MedicineOB=ObstetricsGynecologyPE=PediatricianPROVIDER STATUS
A=Accepting new enrollmentsE=Established Patients only (within the same plan)N=Not accepting enrollments now
MDDOMD= Medical DoctorDO= Osteopathic Doctor
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC73002 X 73069 X 73120 X 73162 X 74014 X X73003 X 73070 X 73121 X 73163 X 74015 X X73004 X 73071 X 73122 X 73164 X 74016 X X73007 X 73072 X 73123 X 73165 X 74017 X X73008 X 73073 X 73124 X 73167 X 74018 X X73010 X 73077 X 73125 X 73169 X 74019 X73011 X 73078 X 73126 X 73170 X 74020 X X73013 X 73079 X 73127 X 73172 X 74021 X X73014 X 73080 X 73128 X 73173 X 74022 X73016 X 73083 X 73129 X 73177 X 74023 X X73018 X 73084 X 73130 X 73178 X 74026 X73019 X 73085 X 73131 X 73179 X 74027 X73020 X 73089 X 73132 X 73180 X 74028 X X73022 X 73090 X 73134 X 73184 X 74029 X73026 X 73092 X 73135 X 73185 X 74030 X X73027 X 73093 X 73136 X 73189 X 74031 X X73028 X 73095 X 73137 X 73190 X 74032 X X73031 X 73097 X 73139 X 73193 X 74033 X X73034 X 73099 X 73140 X 73194 X 74034 X73036 X 73101 X 73141 X 73195 X 74035 X X73037 X 73102 X 73142 X 73196 X 74036 X X73044 X 73103 X 73143 X 73197 X 74037 X X73045 X 73104 X 73144 X 73198 X 74038 X X73049 X 73105 X 73145 X 73199 X 74039 X X73050 X 73106 X 73146 X 73757 X 74041 X X73051 X 73107 X 73147 X 73762 X 74042 X73054 X 73108 X 73148 X 74001 X 74043 X X73056 X 73109 X 73149 X 74002 X X 74044 X X73057 X 73110 X 73150 X 74003 X 74045 X73058 X 73111 X 73151 X 74004 X 74046 X X73059 X 73112 X 73152 X 74005 X 74047 X X73061 X 73113 X 73153 X 74006 X 74048 X73063 X 73114 X 73154 X 74008 X X 74050 X X73064 X 73115 X 73155 X 74009 X 74051 X73065 X 73116 X 73156 X 74010 X X 74052 X X73066 X 73117 X 73157 X 74011 X X 74053 X X73067 X 73118 X 73159 X 74012 X X 74054 X X73068 X 73119 X 73160 X 74013 X X 74055 X X
CAUTION The Employees Benefits Council HMO Zip Code Guide is designed to assist you in your enrollment CHANGES HAVE OCCURRED IN SOME HMOS ZIP CODE SERVICE AREAS Before enrolling in any one of the two (2) HMOs please verify that it is available in a zip code where you live or where you work To change PCPs midyear you must call your HMO
ZIP CODE REFERENCE GUIDE FOR HMOsfor Plan Year 2004
January 1 2004 through December 31 2004
LEGEND COM=CommunityCare HMO PAC=PacifiCare HMO X=Eligible zip for that HMO
EBC
mployeesenefitsouncil
BenefitsPY2004rg 1
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74056 X 74130 X X 74345 X 74450 X 74565 X74058 X 74131 X X 74346 X 74451 X 74567 X74059 X X 74132 X X 74347 X 74452 X 74571 X74060 X X 74133 X X 74349 X X 74454 X X 74574 X74061 X X 74134 X X 74350 X X 74455 X 74577 X74062 X X 74135 X X 74352 X X 74456 X X 74578 X74063 X X 74136 X X 74353 X X 74457 X 74604 X74066 X X 74137 X X 74354 X 74458 X X 74630 X74067 X X 74141 X X 74355 X 74459 X 74633 X74068 X X 74145 X X 74358 X 74460 X X 74637 X74070 X X 74146 X X 74359 X 74461 X 74644 X74071 X X 74147 X X 74360 X 74462 X 74650 X74072 X 74148 X X 74361 X X 74463 X 74651 X74073 X X 74149 X X 74362 X X 74464 X 74652 X74074 X X 74150 X X 74363 X 74465 X 74727 X74075 X X 74152 X X 74364 X X 74466 X X 74735 X74076 X X 74153 X X 74365 X X 74467 X X 74738 X74077 X 74155 X X 74366 X X 74468 X 74743 X74078 X 74156 X X 74367 X X 74469 X 74756 X74079 X 74157 X X 74368 X 74470 X 74759 X74080 X X 74158 X X 74369 X 74471 X 74760 X74081 X X 74159 X X 74370 X 74472 X 74761 X74082 X X 74169 X X 74401 X 74477 X X 74801 X74083 X 74170 X X 74402 X 74501 X 74802 X74084 X 74171 X X 74403 X 74502 X 74804 X74085 X X 74172 X X 74421 X X 74521 X 74818 X74100 X 74182 X X 74422 X X 74522 X 74824 X74101 X X 74183 X X 74423 X 74523 X 74826 X74102 X X 74184 X 74425 X 74526 X 74829 X74103 X X 74186 X X 74426 X 74528 X 74830 X74104 X X 74187 X X 74427 X 74529 X 74831 X74105 X X 74189 X X 74428 X 74536 X 74832 X74106 X X 74192 X X 74429 X X 74543 X 74833 X74107 X X 74193 X X 74430 X 74545 X 74834 X74108 X X 74194 X X 74431 X X 74546 X 74835 X74110 X X 74301 X X 74432 X 74547 X 74837 X74112 X X 74330 X X 74434 X 74548 X 74838 X74114 X X 74331 X 74435 X 74549 X 74840 X74115 X X 74332 X 74436 X X 74552 X 74845 X74116 X X 74333 X 74437 X X 74553 X 74849 X74117 X X 74335 X 74438 X 74554 X 74851 X74119 X X 74337 X X 74440 X 74557 X 74852 X74120 X X 74338 X 74441 X 74558 X 74854 X74121 X X 74339 X 74442 X 74559 X 74855 X74126 X X 74340 X X 74444 x 74560 X 74857 X74127 X X 74342 X 74445 X X 74561 X 74859 X74128 X X 74343 X 74446 X X 74562 X 74860 X74129 X X 74344 X 74447 X X 74563 X 74862 X
BenefitsPY2004rg 2
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74864 X 74881 X 74936 X 74946 X 74959 X74866 X 74882 X 74937 X 74947 X 74960 X74867 X 74884 X 74939 X 74948 X 74962 X74868 X 74901 X 74940 X 74949 X 74964 X74869 X 74902 X 74941 X 74951 X 74965 X74873 X 74930 X 74942 X 74953 X 74966 X74875 X 74931 X 74943 X 74954 X74878 X 74932 X 74944 X 74955 X74880 X 74935 X 74945 X 74956 X
ONLINE AND ON THE GO
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCANADIAN ARAMBULA MARTHA PE MD ACANADIAN BOWEN DINA MARIE PE MD ACANADIAN BUNDY JOHN FP MD ACANADIAN COSBY DONNA PE MD ACANADIAN DIEHL MARK FP MD ACANADIAN DRABEK STEVEN FP MD ACANADIAN FRIESE ATHENA FP MD ECANADIAN LIVINGSTON TANYA FP MD ACANADIAN LOCKWOOD ROBERT FP MD ACANADIAN PINAROC NESTOR FP MD ACANADIAN REED EMILY PE MD ACANADIAN SCHWARZ KRISTA FP MD ECANADIAN SHADLE JEFFREY FP MD ACANADIAN SHAKIR SADIQ IM MD ACANADIAN SIPES BILLY FP MD ACANADIAN STUDEBAKER KENT FP MD ACANADIAN THIESSEN HAROLD FP MD ACANADIAN VERNIER STEPHEN FP MD ACHEROKEE ASIM MUHAMMAD IM MD ACHEROKEE BRIXEY JAMES RAY FP DO ACHEROKEE EDWARDS COY J FP MD ACHEROKEE LITTLETON HERBERT R IM DO ACHEROKEE LOFTIN TERESA FP MD ACHEROKEE SIDDIQUE NAVEED PE MD ACHEROKEE TURNER DONN ROGER FP DO ACHEROKEE YOUNGER STEVEN FP MD ACLEVELAND BOHN SHELLEY PE MD ACLEVELAND FANNING JANET FP MD ACLEVELAND FANNING KYLE FP MD ACLEVELAND FETT WILMA IM MD ACLEVELAND HOUNG VIVIAN FP MD ACLEVELAND JOACHIMS BRIAN FP MD ACLEVELAND RATLIFF HANSEL FP MD A
HMO PRIMARY CARE PHYSICIAN REFERENCE GUIDE for Plan Year 2004
January 1 2004 through December 31 2004EBC
mployeesenefitsouncil
LEGENDSPLANS COM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
TYPEFP=Family PracticeGP=General PracticeIM=Internal MedicineOB=ObstetricsGynecologyPE=PediatricianPROVIDER STATUS
A=Accepting new enrollmentsE=Established Patients only (within the same plan)N=Not accepting enrollments now
MDDOMD= Medical DoctorDO= Osteopathic Doctor
BenefitsPY2004rg 1
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
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mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
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Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74056 X 74130 X X 74345 X 74450 X 74565 X74058 X 74131 X X 74346 X 74451 X 74567 X74059 X X 74132 X X 74347 X 74452 X 74571 X74060 X X 74133 X X 74349 X X 74454 X X 74574 X74061 X X 74134 X X 74350 X X 74455 X 74577 X74062 X X 74135 X X 74352 X X 74456 X X 74578 X74063 X X 74136 X X 74353 X X 74457 X 74604 X74066 X X 74137 X X 74354 X 74458 X X 74630 X74067 X X 74141 X X 74355 X 74459 X 74633 X74068 X X 74145 X X 74358 X 74460 X X 74637 X74070 X X 74146 X X 74359 X 74461 X 74644 X74071 X X 74147 X X 74360 X 74462 X 74650 X74072 X 74148 X X 74361 X X 74463 X 74651 X74073 X X 74149 X X 74362 X X 74464 X 74652 X74074 X X 74150 X X 74363 X 74465 X 74727 X74075 X X 74152 X X 74364 X X 74466 X X 74735 X74076 X X 74153 X X 74365 X X 74467 X X 74738 X74077 X 74155 X X 74366 X X 74468 X 74743 X74078 X 74156 X X 74367 X X 74469 X 74756 X74079 X 74157 X X 74368 X 74470 X 74759 X74080 X X 74158 X X 74369 X 74471 X 74760 X74081 X X 74159 X X 74370 X 74472 X 74761 X74082 X X 74169 X X 74401 X 74477 X X 74801 X74083 X 74170 X X 74402 X 74501 X 74802 X74084 X 74171 X X 74403 X 74502 X 74804 X74085 X X 74172 X X 74421 X X 74521 X 74818 X74100 X 74182 X X 74422 X X 74522 X 74824 X74101 X X 74183 X X 74423 X 74523 X 74826 X74102 X X 74184 X 74425 X 74526 X 74829 X74103 X X 74186 X X 74426 X 74528 X 74830 X74104 X X 74187 X X 74427 X 74529 X 74831 X74105 X X 74189 X X 74428 X 74536 X 74832 X74106 X X 74192 X X 74429 X X 74543 X 74833 X74107 X X 74193 X X 74430 X 74545 X 74834 X74108 X X 74194 X X 74431 X X 74546 X 74835 X74110 X X 74301 X X 74432 X 74547 X 74837 X74112 X X 74330 X X 74434 X 74548 X 74838 X74114 X X 74331 X 74435 X 74549 X 74840 X74115 X X 74332 X 74436 X X 74552 X 74845 X74116 X X 74333 X 74437 X X 74553 X 74849 X74117 X X 74335 X 74438 X 74554 X 74851 X74119 X X 74337 X X 74440 X 74557 X 74852 X74120 X X 74338 X 74441 X 74558 X 74854 X74121 X X 74339 X 74442 X 74559 X 74855 X74126 X X 74340 X X 74444 x 74560 X 74857 X74127 X X 74342 X 74445 X X 74561 X 74859 X74128 X X 74343 X 74446 X X 74562 X 74860 X74129 X X 74344 X 74447 X X 74563 X 74862 X
BenefitsPY2004rg 2
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74864 X 74881 X 74936 X 74946 X 74959 X74866 X 74882 X 74937 X 74947 X 74960 X74867 X 74884 X 74939 X 74948 X 74962 X74868 X 74901 X 74940 X 74949 X 74964 X74869 X 74902 X 74941 X 74951 X 74965 X74873 X 74930 X 74942 X 74953 X 74966 X74875 X 74931 X 74943 X 74954 X74878 X 74932 X 74944 X 74955 X74880 X 74935 X 74945 X 74956 X
ONLINE AND ON THE GO
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCANADIAN ARAMBULA MARTHA PE MD ACANADIAN BOWEN DINA MARIE PE MD ACANADIAN BUNDY JOHN FP MD ACANADIAN COSBY DONNA PE MD ACANADIAN DIEHL MARK FP MD ACANADIAN DRABEK STEVEN FP MD ACANADIAN FRIESE ATHENA FP MD ECANADIAN LIVINGSTON TANYA FP MD ACANADIAN LOCKWOOD ROBERT FP MD ACANADIAN PINAROC NESTOR FP MD ACANADIAN REED EMILY PE MD ACANADIAN SCHWARZ KRISTA FP MD ECANADIAN SHADLE JEFFREY FP MD ACANADIAN SHAKIR SADIQ IM MD ACANADIAN SIPES BILLY FP MD ACANADIAN STUDEBAKER KENT FP MD ACANADIAN THIESSEN HAROLD FP MD ACANADIAN VERNIER STEPHEN FP MD ACHEROKEE ASIM MUHAMMAD IM MD ACHEROKEE BRIXEY JAMES RAY FP DO ACHEROKEE EDWARDS COY J FP MD ACHEROKEE LITTLETON HERBERT R IM DO ACHEROKEE LOFTIN TERESA FP MD ACHEROKEE SIDDIQUE NAVEED PE MD ACHEROKEE TURNER DONN ROGER FP DO ACHEROKEE YOUNGER STEVEN FP MD ACLEVELAND BOHN SHELLEY PE MD ACLEVELAND FANNING JANET FP MD ACLEVELAND FANNING KYLE FP MD ACLEVELAND FETT WILMA IM MD ACLEVELAND HOUNG VIVIAN FP MD ACLEVELAND JOACHIMS BRIAN FP MD ACLEVELAND RATLIFF HANSEL FP MD A
HMO PRIMARY CARE PHYSICIAN REFERENCE GUIDE for Plan Year 2004
January 1 2004 through December 31 2004EBC
mployeesenefitsouncil
LEGENDSPLANS COM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
TYPEFP=Family PracticeGP=General PracticeIM=Internal MedicineOB=ObstetricsGynecologyPE=PediatricianPROVIDER STATUS
A=Accepting new enrollmentsE=Established Patients only (within the same plan)N=Not accepting enrollments now
MDDOMD= Medical DoctorDO= Osteopathic Doctor
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
BenefitsPY2004rg 4
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
BenefitsPY2004rg 5
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
BenefitsPY2004rg 6
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Zip Code Reference Guide
ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC ZIP COM PAC
74864 X 74881 X 74936 X 74946 X 74959 X74866 X 74882 X 74937 X 74947 X 74960 X74867 X 74884 X 74939 X 74948 X 74962 X74868 X 74901 X 74940 X 74949 X 74964 X74869 X 74902 X 74941 X 74951 X 74965 X74873 X 74930 X 74942 X 74953 X 74966 X74875 X 74931 X 74943 X 74954 X74878 X 74932 X 74944 X 74955 X74880 X 74935 X 74945 X 74956 X
ONLINE AND ON THE GO
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCANADIAN ARAMBULA MARTHA PE MD ACANADIAN BOWEN DINA MARIE PE MD ACANADIAN BUNDY JOHN FP MD ACANADIAN COSBY DONNA PE MD ACANADIAN DIEHL MARK FP MD ACANADIAN DRABEK STEVEN FP MD ACANADIAN FRIESE ATHENA FP MD ECANADIAN LIVINGSTON TANYA FP MD ACANADIAN LOCKWOOD ROBERT FP MD ACANADIAN PINAROC NESTOR FP MD ACANADIAN REED EMILY PE MD ACANADIAN SCHWARZ KRISTA FP MD ECANADIAN SHADLE JEFFREY FP MD ACANADIAN SHAKIR SADIQ IM MD ACANADIAN SIPES BILLY FP MD ACANADIAN STUDEBAKER KENT FP MD ACANADIAN THIESSEN HAROLD FP MD ACANADIAN VERNIER STEPHEN FP MD ACHEROKEE ASIM MUHAMMAD IM MD ACHEROKEE BRIXEY JAMES RAY FP DO ACHEROKEE EDWARDS COY J FP MD ACHEROKEE LITTLETON HERBERT R IM DO ACHEROKEE LOFTIN TERESA FP MD ACHEROKEE SIDDIQUE NAVEED PE MD ACHEROKEE TURNER DONN ROGER FP DO ACHEROKEE YOUNGER STEVEN FP MD ACLEVELAND BOHN SHELLEY PE MD ACLEVELAND FANNING JANET FP MD ACLEVELAND FANNING KYLE FP MD ACLEVELAND FETT WILMA IM MD ACLEVELAND HOUNG VIVIAN FP MD ACLEVELAND JOACHIMS BRIAN FP MD ACLEVELAND RATLIFF HANSEL FP MD A
HMO PRIMARY CARE PHYSICIAN REFERENCE GUIDE for Plan Year 2004
January 1 2004 through December 31 2004EBC
mployeesenefitsouncil
LEGENDSPLANS COM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
TYPEFP=Family PracticeGP=General PracticeIM=Internal MedicineOB=ObstetricsGynecologyPE=PediatricianPROVIDER STATUS
A=Accepting new enrollmentsE=Established Patients only (within the same plan)N=Not accepting enrollments now
MDDOMD= Medical DoctorDO= Osteopathic Doctor
BenefitsPY2004rg 1
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
BenefitsPY2004rg 2
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
BenefitsPY2004rg 4
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
BenefitsPY2004rg 5
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
BenefitsPY2004rg 6
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
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YCARE WWWCCOKCOME WWWPACIFICARECOM
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ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
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SERVICES WWWSUPERIORVISIONCOM
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This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
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- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCANADIAN ARAMBULA MARTHA PE MD ACANADIAN BOWEN DINA MARIE PE MD ACANADIAN BUNDY JOHN FP MD ACANADIAN COSBY DONNA PE MD ACANADIAN DIEHL MARK FP MD ACANADIAN DRABEK STEVEN FP MD ACANADIAN FRIESE ATHENA FP MD ECANADIAN LIVINGSTON TANYA FP MD ACANADIAN LOCKWOOD ROBERT FP MD ACANADIAN PINAROC NESTOR FP MD ACANADIAN REED EMILY PE MD ACANADIAN SCHWARZ KRISTA FP MD ECANADIAN SHADLE JEFFREY FP MD ACANADIAN SHAKIR SADIQ IM MD ACANADIAN SIPES BILLY FP MD ACANADIAN STUDEBAKER KENT FP MD ACANADIAN THIESSEN HAROLD FP MD ACANADIAN VERNIER STEPHEN FP MD ACHEROKEE ASIM MUHAMMAD IM MD ACHEROKEE BRIXEY JAMES RAY FP DO ACHEROKEE EDWARDS COY J FP MD ACHEROKEE LITTLETON HERBERT R IM DO ACHEROKEE LOFTIN TERESA FP MD ACHEROKEE SIDDIQUE NAVEED PE MD ACHEROKEE TURNER DONN ROGER FP DO ACHEROKEE YOUNGER STEVEN FP MD ACLEVELAND BOHN SHELLEY PE MD ACLEVELAND FANNING JANET FP MD ACLEVELAND FANNING KYLE FP MD ACLEVELAND FETT WILMA IM MD ACLEVELAND HOUNG VIVIAN FP MD ACLEVELAND JOACHIMS BRIAN FP MD ACLEVELAND RATLIFF HANSEL FP MD A
HMO PRIMARY CARE PHYSICIAN REFERENCE GUIDE for Plan Year 2004
January 1 2004 through December 31 2004EBC
mployeesenefitsouncil
LEGENDSPLANS COM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
TYPEFP=Family PracticeGP=General PracticeIM=Internal MedicineOB=ObstetricsGynecologyPE=PediatricianPROVIDER STATUS
A=Accepting new enrollmentsE=Established Patients only (within the same plan)N=Not accepting enrollments now
MDDOMD= Medical DoctorDO= Osteopathic Doctor
BenefitsPY2004rg 1
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACCLEVELAND WILSON VIVIAN FP MD ACLEVELAND WILSON WILLIAM FP MD ACRAIG COOPER MARTIN T FP MD ACRAIG HORTON TERRY R FP MD ACRAIG PHILLIPS CURTIS GP DO ACRAIG WARREN DONNA F FP MD ACREEK BENNETT BRUCE FP MD A ACREEK HIGBEE PAUL FP MD A ACREEK HO TONY FP MD ACREEK JOHNSON DONALD FP MD A ACREEK KINNEY ROGER L GP MD ACREEK KRISHNAMURTHI SUBRAMANIAM IM MD ACREEK MERTZ CORNELIA FP DO ACREEK NOEL SHARON FP DO A ACREEK RAMSEY TERROLL FP MD A ACREEK RUSSELL JAMES FP MD ACREEK SPEED HENRY IM MD ACREEK WARD MICHAEL GP MD ACREEK WILLIS DIANNA FP DO ACREEK WILSON ROGER IM MD A ALINCOLN MILES MARK IM MD ALOGAN BHAKTA ARVIND IM MD ALOGAN ELLIOTT MICHAEL PEIM MD ALOGAN KREHBIEL TODD PEIM MD ALOGAN ORME LAURIE PEIM MD ALOGAN RITTENHOUSE LEE GP MD ALOGAN TRAVIS STEPHEN IM MD AMAYES ABDEL-GAWAD KHALID S IM MD AMAYES BATTLES PAUL E FP DO AMAYES DILL STEVEN L FP MD AMAYES FELL JOHN FP DO AMAYES GIETZEN MICHAEL FP DO AMAYES JOY KELLEY FP DO AMAYES MARTIN RICHARD E IM MD AMAYES RANE NISHGANDHAY PE MD AMAYES RING DAVID ROY FP DO AMCLAIN CROSSWHITE DAVID FP DO AMCINTOSH CO HENRY G IM MD AMUSKOGEE AMIGO THERESE PE MD AMUSKOGEE BAKER JAMES H IM MD EMUSKOGEE BATTAD HERMOGENES IM MD AMUSKOGEE CHEONG JOEL S IM MD AMUSKOGEE COSTNER THOMAS FP DO AMUSKOGEE CRAIG KENNETH B GP MD AMUSKOGEE DUNCAN SHAWNA PE DO AMUSKOGEE ELGIN DONALD M FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
BenefitsPY2004rg 4
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACMUSKOGEE FERNAN MAXIMO IM MD AMUSKOGEE HAN THIN IM MD AMUSKOGEE HOBBS PAUL W IM MD AMUSKOGEE HUMPHREY DIEGO IM MD AMUSKOGEE JAVVAJI NAGAMANOHAR IM MD AMUSKOGEE JENNINGS GEORGE M GP DO AMUSKOGEE KUYKENDALL KEN L IM MD AMUSKOGEE KYROLLOS ADEL IM MD AMUSKOGEE LAW MAGGIE IM MD AMUSKOGEE LEE SANG G IM MD AMUSKOGEE LESTER DAVID J IM MD AMUSKOGEE ONG YEE SE C IM MD AMUSKOGEE POSEY WILLIE IM DO AMUSKOGEE ROGERS JENA IM MD AMUSKOGEE SALAMATIN MARIA D IM MD AMUSKOGEE STRATTON MICHAEL F PE DO AMUSKOGEE TAWAKLNA MOHAMMAD T IM MD AMUSKOGEE THEIN TIN M IM MD AMUSKOGEE TUN KYAW IM MD AMUSKOGEE WADE KEVIN F PE MD AMUSKOGEE WILKINSON D I PE MD AMUSKOGEE WONG-SICK-HONG JACKSON IM MD AMUSKOGEE ZIN THANT IM MD AOKLAHOMA ABELL ROBERT FP MD AOKLAHOMA ALBIEK HAMED PE MD AOKLAHOMA ALLEN HENRY IM DO AOKLAHOMA BAJOYO ARIES IM MD AOKLAHOMA BAUMAN MARY ANN IM MD EOKLAHOMA BEARD REBA PE MD AOKLAHOMA BECKER WILLIAM FP DO AOKLAHOMA BEVERS WILLIAM FP MD EOKLAHOMA BLICK-NOLAN ANITA PE MD AOKLAHOMA BOHN TIM FP MD EOKLAHOMA BOOTHE II RICHARD FP MD AOKLAHOMA BROWN ROBERT IM MD AOKLAHOMA BROWN S DEAN IM MD AOKLAHOMA BURNER STEVEN FP MD AOKLAHOMA CAMPBELL JESSE PEIM MD AOKLAHOMA CARPENTER CARY FP MD AOKLAHOMA CHAN PETER FP DO AOKLAHOMA CHOPRA KAREN IM MD AOKLAHOMA CLAPP TODD PEIM MD AOKLAHOMA COHEN DONALD FP MD AOKLAHOMA COHEN VIOLET PE DO AOKLAHOMA CONRADY RICKIE FP MD EOKLAHOMA CORLEY STANLEY FP MD A
BenefitsPY2004rg 3
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
BenefitsPY2004rg 4
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA CORNELIUS SAM FP DO AOKLAHOMA COSBY DONNA PE MD AOKLAHOMA CRESPO MANUEL FP DO AOKLAHOMA CRITTENDEN MICKEY PE MD AOKLAHOMA CRUZAN JEFFREY FP MD AOKLAHOMA DANIELS REBECCA FP MD AOKLAHOMA DEAN SEANA PE MD AOKLAHOMA DENMARK DONALD FP MD AOKLAHOMA DEWBERRY JR GLEN FP MD AOKLAHOMA DONER RICHARD FP MD AOKLAHOMA DOOLEY COLLEEN PE MD EOKLAHOMA DOSSER JOHN OB MD AOKLAHOMA DOUGHARTY KENT FP MD AOKLAHOMA DOWELL MATTHEW FP DO AOKLAHOMA ELLIOTT JR EARL IM MD EOKLAHOMA FILLER JANICE PE MD AOKLAHOMA FISHER DAVID FP MD AOKLAHOMA FLOYD JEFFREY FP MD AOKLAHOMA FOSTER DARLENE IM MD AOKLAHOMA FOWLER JOEY FP MD AOKLAHOMA FRALEY GARY B FP MD AOKLAHOMA FRANKLIN RACHEL FP MD AOKLAHOMA GISMONDI PEDRO IM MD EOKLAHOMA GLASGOW ERIN IM MD EOKLAHOMA GRIZZLE JOHN FP MD AOKLAHOMA HARMON BETTY PE MD AOKLAHOMA HERNDON MICHAEL FP DO AOKLAHOMA HINKLE JR ROYCE FP MD AOKLAHOMA HINZ WESLEY FP MD EOKLAHOMA HODGDEN JEFFREY FP MD AOKLAHOMA JACKSON DOROTHY FP MD AOKLAHOMA JOHNSON DONNA PE MD AOKLAHOMA JONES TIMOTHY FM MD AOKLAHOMA KELLEY GREGORY FP DO AOKLAHOMA KIM DONALD IM MD AOKLAHOMA KNOX J MARK FP DO AOKLAHOMA KRUSE WILLIAM PE MD AOKLAHOMA LANDRITH CYNTHIA PE MD AOKLAHOMA LE BLANC H DENISE FP MD EOKLAHOMA LEDOUX-JOHNSON JOY IM MD EOKLAHOMA LE JENNY FP MD AOKLAHOMA LEIBOLD TANNA IM MD EOKLAHOMA LEVY BRIAN IM MD AOKLAHOMA LINQUIST LISA FP MD AOKLAHOMA LUNN JR CHARLES FP MD AOKLAHOMA MAGNUSSON JUDY FP DO A
BenefitsPY2004rg 4
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
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ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
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- CommunityCare HMO1-800-777-4890
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- WEBSITE wwwpacificarecom
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- Fortis BenefitsUDC1-800-443-2995
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- WEBSITE wwwfortisbenefitsdentalcom
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- PG PCPpdf
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- PCP
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- Provider chart hosppdf
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- HOSP
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- Fortispdf
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- DENT-Fortis
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- Ameritaspdf
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- VIS-AMERITAS
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- Compbenefitspdf
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- VIS-COMPBENEFITS
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- PVCSpdf
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- VIS-PVCS
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- Specterapdf
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- VIS-SPECTERA
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- Superiorpdf
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- VIS-SUPERIOR
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- VSPpdf
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- VIS-VSP
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- noticepglastpdf
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- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
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- Fortis BenefitsUDC1-800-443-2995
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- WEBSITE wwwfortisbenefitsdentalcom
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA MALPANI VIJAYA PE MD AOKLAHOMA MC AFEE WILLIAM FP MD AOKLAHOMA MC COY WADE FP MD AOKLAHOMA MC DANIEL TANNER FP MD AOKLAHOMA MC GANN GARY PE MD AOKLAHOMA MEHTA SULABHA PE MD AOKLAHOMA MENZ G DOUGLAS FP DO AOKLAHOMA MILLS GERALD FP MD AOKLAHOMA MITCHELL BARRY FP MD AOKLAHOMA MOHAMMAD SHIRIN IM MD AOKLAHOMA MOORE R KEVIN PE MD AOKLAHOMA MORGAN MICHAEL FP MD AOKLAHOMA MORGAN PETER IM MD AOKLAHOMA NAGODE CORY FP MD AOKLAHOMA NASSAR WADDAH FP MD AOKLAHOMA NGUYEN YEN DUNG FP MD NOKLAHOMA ONARECKER CHEYN FP MD AOKLAHOMA PAGE RICKY IM MD AOKLAHOMA PARIKH SHRILEKHA IM MD AOKLAHOMA PARKISON REID FP MD AOKLAHOMA PATEL BHAGWAT IM MD AOKLAHOMA PAWAR SANYUKTA IM MD AOKLAHOMA PEDERSON SHANNON FM DO AOKLAHOMA PHILIP NEENA IM MD AOKLAHOMA POSSELT EARLENE IM MD AOKLAHOMA RADER ROBERT FP MD AOKLAHOMA RIGGS DEBRA FP MD EOKLAHOMA ROBERTS DENNIS FP MD AOKLAHOMA ROSS DEAN FP MD AOKLAHOMA ROTHWELL DAVID FP MD AOKLAHOMA SABINE JEFFREY FP MD AOKLAHOMA SAIDI JOHN FP MD AOKLAHOMA SCHAEFER JEANNE PE MD AOKLAHOMA SCHLINKE SHAWN IM MD AOKLAHOMA SCHRADER STUART IM DO AOKLAHOMA SCOTT DENISE PE MD EOKLAHOMA SEGUIN JOHN FP MD AOKLAHOMA SHAKIR AFSHAN PE MD AOKLAHOMA SHAKIR SADIQ IM MD AOKLAHOMA SIGLER KALA PE MD EOKLAHOMA SIMMONS MERL PE MD AOKLAHOMA SIMS LA RHONDA FP MD AOKLAHOMA SMILEY CONSTANCE FP MD EOKLAHOMA SPENCER GREGORY IM MD AOKLAHOMA STEPHENS II G KELLY PE MD AOKLAHOMA STEPP JR ROBERT FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
BenefitsPY2004rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
BenefitsPY04rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
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- ZIPpdf
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- Superiorpdf
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- VSPpdf
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- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
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- Fortis BenefitsUDC1-800-443-2995
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- WEBSITE wwwfortisbenefitsdentalcom
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- PG PCPpdf
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- PCP
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- Provider chart hosppdf
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- HOSP
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- Fortispdf
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- DENT-Fortis
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- Ameritaspdf
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- VIS-AMERITAS
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- Compbenefitspdf
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- VIS-COMPBENEFITS
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- PVCSpdf
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- VIS-PVCS
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- Specterapdf
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- VIS-SPECTERA
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- Superiorpdf
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- VIS-SUPERIOR
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- VSPpdf
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- VIS-VSP
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- noticepglastpdf
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- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
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- Fortis BenefitsUDC1-800-443-2995
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- WEBSITE wwwfortisbenefitsdentalcom
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOKLAHOMA SWYGERT TRINA IM MD EOKLAHOMA TENNERY PAUL FP MD EOKLAHOMA TERRY SR MICHAEL FP MD AOKLAHOMA THAYER JAMES FP MD AOKLAHOMA TOALSON THOMAS FP MD AOKLAHOMA VERONNEAU BETTINA FP MD EOKLAHOMA VU DAVID FP MD AOKLAHOMA VYAS AVINASH IM MD AOKLAHOMA WAGNON MARION FP MD AOKLAHOMA WAINNER JR KENNETH FP MD AOKLAHOMA WALL JAMES OB MD AOKLAHOMA WALL RAYMOND FP MD AOKLAHOMA WALRAVEN JAMES IM MD AOKLAHOMA WEBB TED FP MD AOKLAHOMA WELLINGTON MARK FP DO AOKLAHOMA WEST ERIC IM MD AOKLAHOMA WHEELER SAMUEL FP MD AOKLAHOMA WHITE JR ROBERT IM MD AOKLAHOMA WICKERSHAM ELIZABETH FP MD AOKLAHOMA WILBER DON PE MD AOKLAHOMA WILKS JONATHAN IM MD AOKLAHOMA WILLIAMS CURTIS IM MD AOKLAHOMA WILLIAMS WESLEY FP MD EOKLAHOMA WINSLOW CLINTON FP MD AOKLAHOMA WOLF MITCHELL FP MD AOKLAHOMA WOLF STEPHEN IM MD AOKLAHOMA WOODALL MARTIN PE MD AOKLAHOMA WOODSON MARK FP MD AOKLAHOMA WOODWARD MARK FM MD EOKLAHOMA WRIGHT PAUL FM MD AOKLAHOMA WYATT WILL FP MD EOKLAHOMA YOUNG DOUGLAS IM MD AOKMULGEE AJANAKU OLAKUNLE D IM MD AOKMULGEE ALEXANDER THOMAS C IM MD EOKMULGEE ANDERSON JOEL W GP MD AOKMULGEE CAIN MICHAEL T FP DO AOKMULGEE FLANARY CLAYTON W IM DO AOKMULGEE GARIS JOHN A GP MD AOKMULGEE GATTENBY NOEL PE DO AOKMULGEE GRUBB WILLIAM R IM MD AOKMULGEE LOVELL GARY D FP DO AOKMULGEE MALATI ADEL R IM MD AOKMULGEE MORRISON PAUL D IM DO AOKMULGEE OSBORN EDWARD W PE MD AOKMULGEE PARKHURST WESLEY E GP MD AOKMULGEE SANFORD TRACY FP DO A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
BenefitsPY2004rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
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YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
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ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
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SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
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- PG PCPpdf
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- HOSP
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- Fortispdf
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- noticepglastpdf
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- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACOSAGE ASHLOCK KIMBERLY FP DO AOSAGE AUXTER THOMAS FP DO AOSAGE KENNEDY WILLIAM R PE DO AOSAGE LEE GARY R FP MD AOSAGE MC CLARY DENNIS IM DO APAYNE ANDERSON JAMES FP DO APAYNE ATKINSON THOMAS B FP MD APAYNE BROWN TERRY N IM MD APAYNE BULLARD SUSAN P PE MD APAYNE CARLEY JAMES W FP MD APAYNE EARNEST SAM L IM MD EPAYNE EMDE GILBERT E IM MD APAYNE ENGLISH DIANNE FP MD APAYNE GREEN DARREN T IM MD EPAYNE HILL DANIEL P FP MD APAYNE HOYT EUGENE IM MD APAYNE JENKINS WOODY G IM MD EPAYNE JOHNSON JON M IM MD APAYNE MARTIN SCOTT D PE MD APAYNE NIEMAN CATHY E IM MD APAYNE OLTMANNS KEVIN L IM MD APAYNE SMALLEY TIM K IM MD NPAYNE SUBLETT DWIGHT T PE MD APAYNE WEBB MELINDA PE MD APAYNE WILLIAMS JOHN D IM MD APAYNE WILSEY CARLA E PE MD APAYNE WRIGHT ROBERT PE MD APOTTAWATOMIE ALSUP CYNTHIA OB MD NPOTTAWATOMIE BANKS STEPHEN IM MD EPOTTAWATOMIE BLAIR GREGORY IM MD APOTTAWATOMIE BUTCHER MICHAEL IM MD APOTTAWATOMIE CHAPMAN WILLIAM PE MD APOTTAWATOMIE DAVIS MERLE IM MD APOTTAWATOMIE HADDAD PHILLIP IM MD EPOTTAWATOMIE HOLLAND JR DAVID IM MD EPOTTAWATOMIE HUCKS PRESTON FM MD APOTTAWATOMIE JONES RICHARD OB MD APOTTAWATOMIE KATCHER DEBRA PE MD APOTTAWATOMIE MOHAN RAMESH PE MD APOTTAWATOMIE OBHRAI KANWAL PE MD APOTTAWATOMIE SHETTY SHASHINDRA IM MD APOTTAWATOMIE SHI AUGUSTIN IM MD APOTTAWATOMIE SPARKMAN DARIN OB MD EPOTTAWATOMIE TROTTER STEPHEN OB MD APOTTAWATOMIE WOOD HAROLD IM DO AROGERS ARMSTRONG KRIS FM MD E
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACROGERS BARNES III WILLIAM W PE MD AROGERS BENNETT MARJORIE IM MD EROGERS BLESCH LAURI PE MD AROGERS BLUNT LINDA FP MD AROGERS COOPER MICHAEL FP DO A AROGERS DISALVATORE GREGORY GP DO AROGERS DURICK WILLIAM J IM MD AROGERS FARRELL LORETTA FM MD EROGERS FORTNER GARY D FP MD AROGERS FRANKLIN HELEN FP DO A AROGERS FULLER CYNTHIA PE MD AROGERS GALLES JEFFREY IM DO AROGERS HORTON THERESA PE MD AROGERS INGRAM WESLEY FP DO A AROGERS JARRETT PAMELA PE DO AROGERS JENNINGS BEAU FP DO AROGERS JOHNSTON MATTHEW FP MD AROGERS KELLEY MICHELLE R FP MD AROGERS KLOTZ CHRISTOPHER FM MD EROGERS KOENIG JOSEPH FM MD AROGERS KORGAN DWIGHT J FP MD EROGERS MICKLE-DITTRICH LAURIE PE MD AROGERS MONEYPENNY RUSSELL IM DO AROGERS SHEEHAN DEBORAH FP DO AROGERS STAUFFER JR JAMES FP DO A AROGERS STEINBROOK GARY FP DO E EROGERS SUTTON GERALD FP DO A AROGERS TRUETT CASEY FM MD EROGERS VU MICHAEL FM MD ATULSA ABSHERE CHRISTOPHER FP MD A ATULSA ADELSON STEPHEN PE MD A ATULSA AGBEIBOR VICTOR FP MD A NTULSA ALDERMAN JEFFREY IM MD ATULSA ALLEN KENT IM MD A ATULSA ANDERSON-BROWN MARGARET PE MD A ATULSA ARMSTRONG KRIS FP MD ETULSA ASHLOCK KIMBERLY FP DO ATULSA ATWOOD ROGER IM MD A ETULSA AUGUST SYLVIA PE MD A ATULSA AUXTER THOMAS M GP DO ATULSA AXELSSON BOERJE FP MD A ATULSA BAILEY JAMES IM MD E ETULSA BAKER JONATHAN PE MD ATULSA BALDWIN GUY FP DO A ATULSA BARNES SHARON FP MD A ATULSA BARNES STEPHEN FP DO A A
BenefitsPY2004rg 8
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA BARTON KAMI IM MD E ETULSA BAUMGARTNER ROWENA PE MD A ATULSA BENNETT MARJORIE IM MD ETULSA BERKEY MICHAEL IM MD A ATULSA BHARANI SURESH PE MD A ETULSA BILBRUCK LAURA IM MD A ATULSA BLESCH LAURI PE MD ATULSA BOLDING PAT FP MD A ATULSA BOYD CHERYL PE DO ETULSA BREWER JONATHAN FP MD A ATULSA BRUTON BOB FP MD E ATULSA BRYAN VINCENT IM DO E ETULSA BURGHART FRANCINE IM MD E ETULSA BURNETT II GLENN IM MD E ATULSA CALHOUN DAN IM MD A ATULSA CANNON GARY FP DO A ATULSA CARR RONNIE FP DO ETULSA CHEN DIANA IM MD ATULSA CHOW CHRISTOPHER FP MD ATULSA CLARK LORRAINE IM DO A ATULSA COBBLE STEPHANIE FP MD ATULSA COFFEY ROBERT PE MD A ATULSA COFFMAN JOSEPH FP DO A ATULSA COGGINS CURTIS M GP MD ETULSA COHEN RICK PE MD A ATULSA COMBS DAVID FP MD A ATULSA COOK WILLIAM IM MD ATULSA COSSMAN ROBERT IM MD ETULSA COSTNER THOMAS FM DO A ATULSA COULTER MICHELE FP DO A ATULSA COX JON IM MD E ETULSA CRAVENS JERE PE MD A ETULSA CROTTY BRIAN FP DO A ATULSA CROUCH JR JOHN FP MD E ETULSA CROW MURRAY D FP DO ETULSA CYRUS SCOTT S PE DO ATULSA DALEY PATRICK J PE MD ATULSA DE JARNETT CLAYTON FP DO A ATULSA DENNIS BRENT IM MD E ETULSA DERINGTON GAYLE M FP MD E ETULSA DIEKER WILLIAM IM MD A ATULSA DOSS RICHARD IM MD ATULSA DUININCK MITCHELL FP MD A ATULSA EMERY AFSAR FP DO A ATULSA EXON WALTER PE MD A ATULSA FARISH KENT FP MD A A
BenefitsPY2004rg 9
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
BenefitsPY2004rg 10
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA FARRELL LORETTA FP MD ETULSA FEGHALI JEAN PE MD A ATULSA FINCHER STEPHEN IM MD A ETULSA FINER JANIS IM MD E ETULSA FOLDEN LAUREL FP MD ATULSA FOSTER MICHAEL FP MD A NTULSA FREED JERRY PE DO A ATULSA GALLES MARK IM MD E ETULSA GEARHART JOHN FP MD A ATULSA GEFFEN WILLIAM PE MD A ATULSA GIBSON GWENDOLYN L PE MD ATULSA GIST JOEL PE MD A ATULSA GOLDENSTERN LINDA IM MD E ETULSA GORDON ANDREW FP MD A ATULSA GORDON RICHARD PE MD A ATULSA GORDON SHERRI PE MD ATULSA GRAHAM H VONDALE IM MD A ATULSA GRAHAM JR HUGH PE MD A ATULSA GRAY JR J ROBERT FP MD E ETULSA GREWAL HARLEEN IM MD E ETULSA GREWAL S RAJ IM MD E ETULSA GRIFFITHS DAVID W FP MD ETULSA HAMILTON DONALD R PE MD ATULSA HAMILTON FRANK FP MD A ATULSA HARDY III H DWIGHT FP DO A ATULSA HARMON ETHEL V IM DO ETULSA HARMON KELLY PE MD ATULSA HARRINGTON ANNE PE MD A ATULSA HAUGER ROBERT IM MD E ETULSA HEIM RONALD FP DO A ATULSA HENDRICKS JAMES W PE MD ATULSA HERBEL RANDALL FP MD A ATULSA HERMAN PAUL FP MD A ATULSA HESS PHILIP IM MD A ETULSA HIGGINS DONALD IM MD E NTULSA HILL ERICK FP MD A ATULSA HILL RILEY IM MD A ATULSA HOLTE DOUGLAS FP MD A ATULSA HORACEK JEFF IM MD ETULSA HORTON THERESA FP MD ATULSA HOSKISON THOMAS K IM MD ATULSA HOWARD JEFFREY FP MD A ATULSA HOYT BRADLEY IM MD ATULSA HUBNER LAMKEE IM MD ATULSA HUGHES J PATRICK PE MD E ETULSA HUNTER CHRISTOPHER FP MD A
BenefitsPY2004rg 10
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
BenefitsPY2004rg 11
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
BenefitsPY2004rg 12
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
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Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA HUNTER KIM FP DO E ETULSA JELLEY MARTINA J IM MD ATULSA JENKINS CHRISTOPHER FP MD A ETULSA JENNINGS JOHN FP MD A ATULSA JESIOLOWSKI KEITH FP MD A ATULSA JOHNSON KARIN IM DO ATULSA JOHNSON ROBERT IM MD E ETULSA JONES G SCOTT IM DO ATULSA JUBELIRER DAVID PE MD A ATULSA KALTENBACH JR TED PE DO ATULSA KARLAK JULIA A IM MD NTULSA KATHURIA CHITRALEKHA FP MD A ATULSA KELLER SCOTT FP MD A ATULSA KELLEY MICHELLE FM MD A ATULSA KENNEDY WILLIAM PE DO ATULSA KERMANSHANI KAVEH FM MD A ATULSA KIDMAN BRIAN FP MD ATULSA KIM INSUNG IM MD ATULSA KINCADE THOMAS PE MD A ATULSA KING LANCE FP MD A ATULSA KING LISA IM MD ATULSA KIRK KENNETH IM MD A ATULSA KLOTZ CHRISTOPHER FP MD ETULSA KNIPPERS JOHN PE MD E ETULSA KOENIG JOSEPH FP MD ATULSA KOLJACK KATHLEEN PE MD A ATULSA KRAUTTER PAUL FP MD A ATULSA KRISA PEGGY IM MD A ATULSA KRUTKA DONNA PE MD A ATULSA LADE CHANDON FP MD ATULSA LADE ARVID IM MD E ETULSA LANDGARTEN STEVEN IM MD ATULSA LANTZ GORDON IM MD E ETULSA LANTZ PETER IM MD E ETULSA LAUGHLIN BRENT FP MD A ATULSA LE UYEN P PE MD ATULSA LEI WILLIAM FP MD A ATULSA LIEBENDORFER RICHARD IM MD N ETULSA LOVELESS SR DONALD FP MD ETULSA LOWERY BRADLEY FP MD A ATULSA LUISKUTTY THOMAS IM MD N NTULSA MACKEY ROBERT PE MD A ATULSA MADAJ THOMAS IM MD ATULSA MADDOX MICHAEL FP DO A ATULSA MAHAFFEY ROBERT FP MD E ETULSA MALOY CYNTHIA FP MD A A
BenefitsPY2004rg 11
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
BenefitsPY2004rg 12
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
BenefitsPY2004rg 13
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
BenefitsPY2004rg 14
Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
BenefitsPY2004rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
BenefitsPY04rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
BenefitsPY04rg 2
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
BenefitsPY04rg 3
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA MANGE MONA PE MD A ATULSA MAROUK COLIN FP DO ATULSA MARPLE RICHARD IM MD N NTULSA MARTIN DAVID C IM MD NTULSA MASOOD TARIQ IM MD A ATULSA MAXWELL MICHAEL IM MD E ETULSA MAYBERRY DAWN PE DO A ATULSA MAYFIELD CHRISTY FP MD A ATULSA MCBRYDE GARY IM MD E ETULSA MCCARTY CHARLES FP MD E ETULSA MCCLINTOCK LYNN A FP MD ETULSA MCCONNELL WENDY PE MD A ATULSA MCNULTY GERARD IM MD E ETULSA MICKLE-DITTRICH LAURIE PE MD ATULSA MIHELICH THOMAS IM MD ATULSA MILLS MIRIAM V PE MD ATULSA MILNER TRUDY FP DO A ATULSA MIZELL JAMES IM MD E ATULSA MONCADA FRANZ PE MD A NTULSA MORGAN ANNE KRISTEN PE MD A ATULSA MOSBY ANGELA FP MD A ATULSA MUCKALA KENNETH FP MD E ETULSA MURPHY LINDA B PE MD ATULSA MYERS ADAM FP MD A ATULSA NARRIN CHRISTINE PE DO A ATULSA NELSON DON G IM MD ETULSA NETTLES ELIZABETH IM DO ATULSA NETTLES JON OB MD ATULSA NEWNAM MICHAEL FP MD A NTULSA NICOLL DANIEL FP DO A ATULSA NIEBERGALL ROBERT IM MD E ATULSA OBRIEN SUSAN PE MD A ATULSA OBRIEN WILLIAM IM MD A ATULSA OGLESBY RONALD FP DO A ATULSA OLSON DARWIN FP MD A ATULSA OMSTEAD-DIXON KALA FP DO A ATULSA PARKER STEPHANIE FP DO ATULSA PARKER STEPHEN IM MD E ETULSA PATTON JERRY FP DO A ATULSA PAULSEN ROBERT FP MD A ATULSA PENDELL III GEORGE FP MD E ETULSA PIPER KENNETH W IM MD NTULSA PLACE CHRISTOPHER FP MD A ATULSA POPLIN LENARD IM MD ATULSA POSTELWAIT GARY L IM DO ATULSA PRABHALA ANU IM MD A A
BenefitsPY2004rg 12
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
BenefitsPY2004rg 13
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA PRICE LANDON FP MD A ATULSA PROSKOVEC CONNIE PE DO A ATULSA PUCKETT DONNA PE MD A ATULSA PUE WAYNE IM MD A ATULSA RAE ALTON WAYNE FP MD A ATULSA RAINE RANDALL IM DO E ETULSA RALEY DAVID BRIAN PE MD A ATULSA RAMSEY TERROLL FM MD ATULSA RAO JANHAVI IM MD ATULSA RAYBORN M YVONNE FP MD A ATULSA RAZDAN TITO IM MD A ATULSA REESE JOE IM MD ETULSA REINKING RICHARD FP MD E ETULSA RIDER BART FP DO ATULSA ROBBINS W GAIL IM MD ATULSA ROMAN DIVINA FP MD A ATULSA ROMAN VINCENT FP MD A ATULSA ROSS JAMES FP MD A ATULSA RYLANDER EDWARD FP MD A ATULSA SAIZOW RONALD B IM MD ATULSA SANDERS SHERRI IM MD ATULSA SCHLECHT JOSEPH FP DO A ATULSA SCHOOLEY THOMAS FP DO A ATULSA SCOTT MARTIN IM MD ETULSA SCOTT RICHARD FP MD A ATULSA SEARCY ROBERT IM MD A ATULSA SEEFELDT GERALD FP MD A ATULSA SETTER KENNETH PE MD ATULSA SEXTER SCOTT FP MD E ETULSA SHAH PAT PE MD A ATULSA SHARP PATRICK FP DO A ATULSA SHAW PATTI IM DO ATULSA SHAW RONALD B IM MD A ATULSA SHERMAN CAROL FP DO A ATULSA SHOLL DAVID FP MD ETULSA SHUNATONA BAPTISTE FP MD A ATULSA SILAS GEETA PE MD A ATULSA SLOTHOUR EDWARD FP MD ETULSA SMITH H PERCY FP MD N ETULSA SMITH TRACY IM MD A ATULSA SNEDDEN III JACK FP MD A ETULSA SOOD ALKA PE MD E ETULSA SOOD SANJIV PE MD E ETULSA STEELE SUSAN FP DO A ATULSA STEICHEN KEVIN FP MD E ETULSA STEINER LINDA PE MD A A
BenefitsPY2004rg 13
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
BenefitsPY2004rg 14
Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
BenefitsPY2004rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
BenefitsPY04rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
BenefitsPY04rg 2
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
BenefitsPY04rg 3
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council HMO Primary Care Physcian Reference Guide
COUNTY LAST NAME FIRST NAME TYPE MDDO COM PACTULSA STEVENS MATTHEW FP MD A ATULSA STOCKTON DARIN IM MD ATULSA STRINGER WILLIAM FP MD A ATULSA STUDDARD DANIEL FP DO A ATULSA SUFFRIDGE TONYA PE DO A ATULSA TAYLOR EDWARD L IM MD NTULSA TETER C MARK FP MD A ATULSA TETER CHRISTOPHER IM MD A ATULSA THOMAS SHERRI FP MD A ETULSA TING CANDY FP DO A ATULSA TRIPATHY SUDIP IM MD E ETULSA TRUETT CASEY FP MD ETULSA UYGUR GULAY IM MD A ATULSA VANSCHOYCK PATRICK IM MD A ATULSA VASQUEZ-HARMON ETHEL IM DO ETULSA VETETO KENNETH IM MD E ETULSA VINEYARD KYRA FP DO A ATULSA VU MICHAEL FP MD ATULSA WACKOWSKI JR MICHAEL IM MD E ETULSA WACKOWSKI REBECCA IM MD N NTULSA WAN SANG SANDRA PE MD ATULSA WARD J PERRY PE MD A ATULSA WEISZ MICHAEL IM MD ATULSA WENGER JILL IM MD E ETULSA WENGER PETER FP MD A ATULSA WILLARD SUSAN FP DO A ATULSA WILLIAMS TERENCE FP DO ATULSA WISEMAN STEVEN IM MD E ATULSA XING JIAN IM MD A ATULSA YARBOROUGH WILLIAM H IM MD ATULSA YOUNG LINDA IM MD ATULSA ZANO MERCEDES IM MD ATULSA ZETIK JR DONALD F PE MD ATULSA ZOMER YOHANAN PE MD A AWAGONER ALDRIDGE JACK FP DO AWAGONER CARR RONNIE FP DO E EWAGONER MAROUK COLIN FP DO A AWAGONER MILLIGAN THOMAS FM DO AWAGONER RIDER BART FP DO A A
You may also visit EBCs website and hot links to the Plans own provider listsFor HealthChoice Provider lists (medical and dental) please visit their website at wwwhealthchoiceokcom Call HealthChoice customer service at Oklahoma City metro area 405-717-8780 Toll free 800-752-9475 Health Dental amp Life 405-499-4920 Toll free 800-782-5218
BenefitsPY2004rg 14
Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
BenefitsPY2004rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
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ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
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Employees Benefits Council HMO Hospital Reference Guide
COUNTY HOSPITAL COM PACCANADIAN INTEGRIS CANADIAN VALLEY REGIONAL MED CTR XCHEROKEE TAHLEQUAH CITY HOSPITAL XCRAIG CRAIG GENERAL HOSPITAL XCREEK ST JOHN SAPULPA XMAYES MAYES COUNTY MEDICAL CENTER XMUSKOGEE MUSKOGEE REGIONAL MEDICAL CENTER XOKLAHOMA INTEGRIS BAPTIST MEDICAL CENTER XOKLAHOMA INTEGRIS SOUTHWEST MEDICAL CENTER XOKLAHOMA MERCY HEALTH CENTER XOKLAHOMA RENAISSANCE WOMENS CENTER OF EDMOND XOKLAHOMA ST ANTHONY HOSPITAL XOKMULGEE HENRYETTA MEDICAL CENTER XOKMULGEE OKMULGEE MEMORIAL HOSPITAL XPAYNE STILLWATER MEDICAL CENTER XPOTTAWATOMIE UNITY HEALTH CENTER XROGERS CLAREMORE REGIONAL HOSPITAL XTULSA HILLCREST MEDICAL CENTER XTULSA SAINT FRANCIS HOSPITAL X XTULSA SAINT FRANCIS HOSPITAL AT BROKEN ARROW X XTULSA SOUTHCREST HOSPITAL XTULSA ST JOHN MEDICAL CENTER X X
HMO HOSPITAL REFERENCE GUIDE
for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
LEGENDCOM=CommunityCare Standard HMO
PAC=PacifiCare Standard and Alternative Nonstandard HMO
NOTICE For Plan Year 2004 the following hospital list was provided to the Employees Benefits Council by the two (2) available HMOs Please remember that in most cases the choice of hospital is determined by your Primary Care Physician (PCP) and the HMO hospital contract agreements Call your HMO for further details
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
ADA COERVER BRIAN EBROKEN ARROW BEDDOE RAY ABROKEN ARROW HARRINGTON DEAN ABROKEN ARROW OVERTON BRADFORD ECARNEGIE FURTADO JOSEPH ACATOOSA GROGAN STEVEN ECATOOSA KENNEDY THOMAS ACHECOTAH OWENS JOSEPH ACHICKASHA THOMAS MICHAEL ACLAREMORE JOHNSON JOHN ACLAREMORE SHULL JAMES ACLEVELAND TURNER DWIGHT ECLINTON SCHOONMAKER DEVIN ECUSHING DAVIS REBECCA ACUSHING HERWING CRAIG ADEL CITY UNTRAUER STEVEN EDUNCAN THOMAS MICHAEL AEDMOND FENTEM RICHARD JR AEDMOND JARJOURA ELI AEDMOND MELTZNER STEVEN AEDMOND POTTER BENNY AEDMOND STEFFEN RODNEY AEDMOND SPEIGHTS JULIE AELK CITY WOODS ROBERT EENID BLUBAUGH WILLIAM AENID BUSBY BRIAN AENID GRIESHOBER KURT EGUTHRIE BUMPAS BRYAN AGUTHRIE SEAMANS JAMES EHENRYETTA SELLERS FLOYD EHENRYETTA TORCHIA JAMES ALAVERNE DAVIS SUSAN ALAWTON OWENS CHARLES AMCALESTER ABER SUE AMIDWEST CITY HENSLEE EDWIN AMOORE BELL JOHN AMOORE HOPKINS JEREMY AMOORE JACK JERRY A
MANAGED DENTAL PLAN PRIMARY CARE DENTIST (PCD) REFERENCE GUIDE
FortisUDC PINNACLE PLAN for Plan Year 2004
January 1 2004 through December 31 2004
EBC
mployeesenefitsouncil
BenefitsPY04rg 1
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
BenefitsPY04rg 2
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
BenefitsPY04rg 3
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
MOORE ONEAL CHRISTOPHER AMOORE SCHUMANN DAVID AMOORE SCHWARTZ DAVID AMOORE STEFFEN RODNEY AMOORE WILLIAMS BRUCE AMUSKOGEE BLAYLOCK GEORGE AMUSKOGEE FARMER BARRY AMUSKOGEE MARTIN JAMES ENORMAN BREWER WILLIAM ENORMAN MALCOLM JOHN ENORMAN MONTGOMERY VINCENT ANORMAN SCHWARTZ DAVID ANORMAN TURNER JOHN ENORMAN YEARY JAMES EOKEENE WINTERS FRED AOKLAHOMA CITY ADAMS MICHAEL EOKLAHOMA CITY BAKER JAMES AOKLAHOMA CITY BASEY THOMAS AOKLAHOMA CITY BREWER WILLIAM AOKLAHOMA CITY BROOKS G AOKLAHOMA CITY BROWN PAUL AOKLAHOMA CITY BURCH HUGH AOKLAHOMA CITY CARRUTH WILLIAM AOKLAHOMA CITY CHO KYUNG AOKLAHOMA CITY CLARK WILLIAM AOKLAHOMA CITY COHENOUR KENT AOKLAHOMA CITY CROOM WILLIAM AOKLAHOMA CITY CUMBY DUNN AOKLAHOMA CITY DAVIS TERESA AOKLAHOMA CITY DEHART KATHY AOKLAHOMA CITY DOAN THAI-AN AOKLAHOMA CITY DREW RICHARD EOKLAHOMA CITY DUFFY MICHAEL AOKLAHOMA CITY ESTES ROBERT AOKLAHOMA CITY EVERETT LEISHA AOKLAHOMA CITY FICK STEVEN EOKLAHOMA CITY FRITCH C EOKLAHOMA CITY GALIER DONNA AOKLAHOMA CITY GIFFHORN WILLIAM EOKLAHOMA CITY GOLDSMITH CHARLES EOKLAHOMA CITY GOVIND DIVYANA AOKLAHOMA CITY GRIFFIN JENNIFER AOKLAHOMA CITY HANSTEIN MARK EOKLAHOMA CITY HARLAN JAY A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
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Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
OKLAHOMA CITY HICKMAN FRENCH AOKLAHOMA CITY IHRIG CHARLES AOKLAHOMA CITY JACK JERRY AOKLAHOMA CITY JARVIS ROBERT EOKLAHOMA CITY JEFFREY JONATHON AOKLAHOMA CITY KENNEDY ROBERT AOKLAHOMA CITY KOONTZ DAVID AOKLAHOMA CITY LARASON CHARLES AOKLAHOMA CITY LEWIS EARNEST AOKLAHOMA CITY LITTLE VIRGIL EOKLAHOMA CITY MALCOLM JOHN AOKLAHOMA CITY MCDAVID JOHN AOKLAHOMA CITY MESIKEP MARK AOKLAHOMA CITY MILLER KENNETH AOKLAHOMA CITY MIYAKE ALAN AOKLAHOMA CITY NORRIS JULIA AOKLAHOMA CITY PATEL NEHAL AOKLAHOMA CITY ROUBIK ANDREW AOKLAHOMA CITY RUBIN FREDERICK AOKLAHOMA CITY SAFVI NARJIS AOKLAHOMA CITY SAVANT TROY AOKLAHOMA CITY SCOTT CHARLES AOKLAHOMA CITY SEARCEY SCOTT AOKLAHOMA CITY SHARPE BRUCE EOKLAHOMA CITY SHEDECK MARTIN AOKLAHOMA CITY SHIPLET ANGELA AOKLAHOMA CITY SMITH KEVIN AOKLAHOMA CITY SNYDER HUGH AOKLAHOMA CITY STEFFEN RODNEY AOKLAHOMA CITY STEPHENSON GEORGE AOKLAHOMA CITY SULLIVAN STEVEN AOKLAHOMA CITY TURNER ERNEST AOKLAHOMA CITY TURNER JOHN AOKLAHOMA CITY VANDENBER THANH AOKLAHOMA CITY VIRTUE STEPHEN EOKLAHOMA CITY WATSON ROBERT AOKLAHOMA CITY WENDT STEPHANIE EOKLAHOMA CITY WILLBANKS J AOKLAHOMA CITY WILSON JEFFREY EOKLAHOMA CITY WINDSOR SANDRA AOKLAHOMA CITY WOODS WALLACE AOWASSO HARRINGTON W APAULS VALLEY WATKINS PAUL EPERKINS THOMPSEN JOHN A
BenefitsPY04rg 3
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
PRAUGE HUTCHENS JAY ESAND SPRINGS EMAMI M ESAPULPA WELLS ALLEN ASEMINOLE WILLIAMS THOMAS ASHAWNEE HICKMAN FRENCH ASHAWNEE SNYDER HUGH ESHAWNEE TURNER JOHN JR ESKIATOOK SIMS FRED ATECUMSEH WAYT RONALD ATULSA ANDREGG MARK ATULSA BATY BENSON ETULSA BEATTY RICHARD ATULSA BERKLACY STEVEN ATULSA BOWER JOHN ATULSA BUSSMAN GEORGE ETULSA CUZALINA L ATULSA DAVIES JR WALTER ATULSA DAVIES III WALTER ATULSA DENNEHY GAYLE ATULSA DO HUGH ATULSA DUDLEY CRAIG ETULSA EMAMI M ATULSA ESCO BRENTLEY ATULSA GILBERT THOMAS ATULSA GREER JERRY ATULSA GREER JERRY ATULSA GRIMES EDWARD ATULSA HARRINGTON W ATULSA HARRISON RONALD ATULSA HOSIER MICHAEL ATULSA HOWLETT CHRISTOPHER ATULSA HUDSON LLOYD ATULSA JANITZ ROGER ATULSA JOHNSON JOHN ATULSA JOHNSON ROBERT ATULSA KIRKPATRICK THOMAS ATULSA KIRKPATRICK DOUGLAS ATULSA LAI JOSEPH ATULSA LOWE PHILLIP ATULSA MOORE TIMOTHY ATULSA NELSON E ATULSA NGUYEN TRUYEN ATULSA ODOM JOEL ATULSA POLLARD BRYAN A
BenefitsPY04rg 4
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Managed Dental Plan Primary Care Reference Guide
A=Accepting new enrollments now E=Established patients onlyCITY LAST NAME FIRST NAME FORTIS
TULSA PRINCE LARRY ATULSA REGAN WILLIAM ATULSA ROGERS WILLIAM ATULSA ROGERS WILLIAM ATULSA SADIGHIRAD JOHANGIR ATULSA SCHOEFFLER JERRY ATULSA SHEPHERD MICHAEL ETULSA SUTHAR PRAGNA ATULSA TEWIS SHANE ATULSA TORCHIA JAMES ATULSA TRICINELLA KENNETH ETULSA WALTZER ROSS ATULSA WILLIAMS LARRY ATULSA WILLIAMS THOMAS AVINITA TORCHIA JAMES AWATONGA EDSALL ROBERT AYUKON MESIKEP MARK A
Since dentists may open or close practices at various times during the year call to verify availability
FORTIS (UDC) WEBSITEwwwfortisbenefitsdentalcom
FORTIS (UDC) CUSTOMER SERVICE
1-800-443-2995
For a list of HealthChoice dentists visit their website at wwwhealthchoiceokcom
BenefitsPY04rg 5
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
AMERITAS LIFE INSURANCE CORPJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY04rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwameritasgroupcomBe aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 800-877-7195
AMERITAS LIFE INSURANCE CORP
ONLINE AND ON THE GO
BenefitsPY04rg 4
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM J (580)332-3936 LAWTON EDWARDS JIM (580)248-5280ADA JOHNSON BRYAN (580)272-9600 LAWTON HEAD JENNIFER (580)355-1298ALTUS GEIGER MICHAEL (580)482-1756 LAWTON HEAD ROBERT (580)355-1298ALTUS GIFFORD STEVEN (580)482-0051 LAWTON HOPKINS RUSSELL (580)353-5860ARDMORE BARRINGER JOHN (580)226-3523 LAWTON ROSS HOWARD (580)353-5090ARDMORE CLAY GARLAND (580)223-8676 MANNFORD ELLIOTT KATHLEEN (918)865-2116ARDMORE HOBBS DAVID (580)226-5858 MANNFORD HISKETT ROY (918)865-2116ARDMORE MARTIN DON (580)223-6780 MARIETTA BARRINGER JOHN (580)276-5548BARTLESVILLE BENNETT JAMIE (918)336-4068 MCALESTER BERLIN HOWARD (918)421-8460BARTLESVILLE LEE WILLIAM (918)336-0607 MCALESTER DUFF JEFFREY (918)426-0106BARTLESVILLE LINDGREN RORY (918)333-2123 MCALESTER EDWARDS CAROLYN (918)423-2031BETHANY PRIVOTT MARK (405)495-5170 MCALESTER KENNEDY CRAIG (918)421-8460BLACKWELL CHENOWETH CHRISTOPHER(580)363-2385 MIAMI MCQUIGG CLARK (918)540-1929BLACKWELL SANDY GREG (580)363-4020 MIAMI WALLS WADE (918)540-1929BRISTOW ELLIOTT KATHLEEN (918)367-2020 MIDWEST CITY PERKINS NORMAN (405)732-0353BRISTOW HISKETT ROY (918)367-2020 MOORE PAINTER JON (405)799-7706BROKEN ARROW BEATS COLBY (918)258-9999 MOORE WADE GARY (405)794-2020BROKEN ARROW BERENSON THOMAS (918)451-2020 MUSKOGEE CREED RICHARD (918)687-7530BROKEN ARROW HUDKINS JOHN (918)455-2020 MUSKOGEE STEWART CANDACE (918)687-4459BROKEN ARROW MURRELL STACEY (918)258-9999 MUSKOGEE TRIMBLE LESLIE (918)687-4459BUFFALO HAWKINS JOHN (580)735-2667 MUSTANG PARTIN GLENN (405)376-9779CATOOSA DUKE ROBERT (918)266-3411 NORMAN BURCHAM JEFFREY (405)364-2020CHICKASHA CLIFT CHRISTEN (405)224-5342 NORMAN FLAX TROY (405)321-2155CHICKASHA MINNETT JOHN (405)224-5342 NORMAN GUERKINK ADAM (405)329-8100CLAREMORE KUYKENDALL ERIC (918)341-2020 NORMAN MARTIN PEPPER (405)321-2155CLAREMORE RILEY LARRY (918)341-3284 NORMAN SLATTEN JAMES (405)360-2822COLCORD VAUGHAN SUSAN (918)422-5811 NORMAN ULLOA TANYA (405)447-5001DEL CITY BLUE THOMAS (405)677-8831 NOWATA MEISTER HAROLD (918)273-0486DUNCAN ATCHLEY JODY (580)255-9717 OKEMAH ELDRIDGE DAVID (918)623-1010DUNCAN MILLER ROBERT (580)255-1346 OKEMAH HALL DAVID (918)623-1010DURANT CLAY GREGORY (580)920-2020 OKEMAH WARD JAMES (918)623-1010DURANT CLAY JOE (580)920-2020 OKLAHOMA CITY BRINKER DAVID (405)943-4413DURANT RHYNES JASON (580)920-2020 OKLAHOMA CITY CAMP ROBERT (405)685-8807EDMOND CAHRLES JAMES (405)330-1100 OKLAHOMA CITY COOPER ROBERT (405)946-4398EDMOND FIELDING BRADLEY (405)341-3567 OKLAHOMA CITY FOX GARY (405)691-3937EDMOND MELTON ALISSA (405)478-4444 OKLAHOMA CITY GLINSKI EDWARD (405)636-1508EDMOND MELTON JACK (405)478-4444 OKLAHOMA CITY HARRISON WAYMON (405)691-2210EDMOND MELTON RYAN (405)478-4444 OKLAHOMA CITY HERRIN FRED (405)721-0100EDMOND MOYER STEVEN (405)478-3040 OKLAHOMA CITY HICKS RANDEL (405)692-2526ENID DIEHL WILLIAM (580)233-3599 OKLAHOMA CITY JONES JR JOHNNY (405)943-4413FORT GIBSON COY DEBBIE (918)478-8888 OKLAHOMA CITY LAM IRENE (405)528-8200GUTHRIE BENNETT MICHAEL (405)282-4396 OKLAHOMA CITY LATIMER RALPH (405)684-9448HENRYETTA BRIAN MICHAEL (918)652-2345 OKLAHOMA CITY MORGAN GARY (405)691-6777HENRYETTA LAVALLEY GARY (918)652-2345 OKLAHOMA CITY PALNK KENNETH (405)749-2002HOBART FRAZIER JARI (580)726-3301 OKLAHOMA CITY PARTIN GLENN (405)636-1508HOLDENVILLE IRBY ROBERT (405)379-3610 OKLAHOMA CITY REDWINE GEORGE (405)528-1207HUGO EDWARDS JEFF (580)326-3319 OKLAHOMA CITY WALKER PHILLIP (405)751-5638
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
COMPBENEFITSVISIONCARE PLANJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY WHTILOW PHILIP (405)691-4111 TULSA DUDLEY ANDREA (918)745-9700OKMULGEE HALL DAVID (918)756-0316 TULSA FISHER CARL (918)250-8555OKMULGEE WARD JAMES (918)756-0316 TULSA FREE DAVID (918)582-7346PAULS VALLEY JONES LARRY (405)238-5566 TULSA GELWICK PHILLIP (918)744-7638PAULS VALLEY MILLER LANCE (405)207-9500 TULSA GOODWIN LARRY (918)585-1523PONCA CITY QUINN MILBURN (580)762-0870 TULSA GRAEFE GERALD (918)664-1180PONCA CITY STUEVER WILLIAM (580)762-5700 TULSA HANSEN ALISON (918)749-7667PONCA CITY TROTTER J (580)765-3379 TULSA HARREL MONTE (918)745-9662POTEAU KANOY-HOLT TAMATHA (918)649-0524 TULSA HERRIN-LAWSOGERRI (918)742-2055PRAGUE RADELL ROGER (405)567-2261 TULSA HILL KENNETH (918)446-3171PRYOR FULLERTON MICHAEL (918)825-0055 TULSA LAWSON MICHAEL (918)585-1523SAND SPRINGS HIGGS LARRY (918)245-4747 TULSA LAWSON TERRY (918)742-2055SAND SPRINGS MORRIS DENNIS (918)245-4747 TULSA MACKEY SANDRA (918)249-2020SAND SPRINGS TEEL DAWN (918)245-9546 TULSA MERCHANT KENNETH (918)622-6244SAPULPA HARTIN J (918)224-2389 TULSA MOORE FRANK (918)461-2367SAPULPA HIGGS LARRY (918)224-2610 TULSA RAHME VICTORIA (918)743-9918SAPULPA JANOWIAK JAMES (918)224-2389 TULSA RAINWATER WESLEY (918)254-0447SAPULPA MORRIS DENNIS (918)224-2610 TULSA STOVER JAMES (918)585-1523SKIATOOK ROBERSON GERALD (918)396-1234 TULSA WILK LARRY (918)249-2020STILLWATER REEVES HENRY (405)372-2033 WAGONER NAIFEH FRED (918)485-4775TAHLEQUAH MAHANEY JAMES (918)453-3552 WAGONER RICE SHELLY (918)485-4775TISHOMINGO JOHNSON BRYAN (580)371-2020 WARNER DUROSSETTE KIMBERLY (918)463-3937TULSA ANKLESARIA MANEK (918)745-2020 WOODWARD COOK GREGORY (580)256-1288TULSA CARTMELL STEVEN (918)665-1800 WOODWARD HAWKINS JOHN (580)256-7755TULSA DUBIN HILLY (918)252-0438 YUKON HAMPTON MICHAEL (405)354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvisioncarecomBe aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
COMPBENEFITSVISIONCARE PLAN
CUSTOMER CARE DEPARTMENT 1-800-865-3676
WEAR PROTECTIVE GEAR AND EYEWEAR DURING
WORK AND SPORTING EVENTS TO PREVENT
IMPAIRED VISION AND EYE INURIES
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CUNNINGHAM KEVIN (580) 332-3936 EDMOND WILKERSON ELISABETH (405) 341-9480ALTUS GEIGER MICHAEL (580) 482-1756 EDMOND WOLF THOMAS (405) 341-6941ALTUS GIFFORD STEVEN (580) 482-0051 EDMOND WRIGHT TODD (405) 478-2800ALTUS HUEY DAVID (580) 477-1355 EL RENO HARPER EDWARD (405) 262-6611ALVA PIPER-HUGHBANKS TRINA (580) 327-3335 EL RENO REICHERT JOSEPH (405) 262-2354ALVA SMITH TROY (580) 327-2393 EL RENO REICHERT PAM (405) 262-2354ANADARKO SLAVIN ROBERT (405) 247-6412 ELK CITY EDWARDS JOHN (580) 225-1980ARDMORE BARRINGER JOHN (580) 226-3523 ELK CITY FORD GARY (580) 225-1980ARDMORE MARTIN DON (580) 226-2361 ENID DIEHL DON (580) 233-3599ARDMORE WELLS KEVIN (580) 223-5300 ENID JONES DAVID (580) 233-3599ATOKA EVANS BILL (580) 889-3492 ENID MCEACHERN SCOTT (580) 237-4772BARTLESVILLE BENNETT JAMIE (918) 336-4068 EUFAULA COBURN JERRY (918) 689-2677BARTLESVILLE FOUST PHILLIP (918) 333-3636 EUFAULA ODOM VAN (918) 689-2677BARTLESVILLE LEE WILLIAM (918) 336-0607 FAIRVIEW CARLISLE MAX (580) 227-4878BETHANY CARLIN CATHERINE (405) 782-0300 FREDERICK GATTIS A B (580) 335-2020BETHANY FRY CHRIS (405) 782-0300 FT GIBSON COY DEBBIE (918) 478-8888BLACKWELL SANDY GREG (580) 363-4020 FT GIBSON GARRISON DENNIS (918) 478-3000BRISTOW ELLIOTT KATHLEEN (918) 367-2020 GLENPOOL GOSNELL JOHN (918) 291-1222BRISTOW HISKETT ROY (918) 367-2020 GROVE LANTZ LARRY (918) 786-2254BROKEN ARROW HUDKINS JD (918) 455-2020 GROVE YANDELL BUDDY (918) 786-9777BUFFALO HAWKINS JOHN (580) 735-2667 GUTHRIE BENNETT MICHAEL (405) 282-4396CATOOSA DUKE CHARLES (918) 266-3411 GUTHRIE COOK DOUGLAS (405) 282-5555CHANDLER EVANS JR K DEAN (405) 258-1234 GUTHRIE COOK LISA (405) 282-5555CHEROKEE NEWTON CARL (580) 596-3573 GUYMON JOHNSON MACK (580) 338-8437CHICKASHA CLIFT CHRISTEN (405) 224-5342 GUYMON NOSSAMAN ELMER (580) 338-8437CHICKASHA MINNETT JOHN (405) 224-5342 HENNESSEY SMITH JOHN (405) 853-6800CLAREMORE LAMBERT JAMES (918) 341-8211 HENRYETTA BRIAN MICHAEL (918) 652-2536CLAREMORE RILEY LARRY (918) 341-3284 HENRYETTA LAVALLEY JAY (918) 652-8165CLAREMORE SMITH STEVE (918) 341-8211 HOBART FRAZIER JARI (580) 726-3301CLAREMORE STOVER JAMES (918) 341-8211 HOLDENVILLE IRBY ROBERT (405) 379-3610CLEVELAND FIELDING GREGORY (918) 358-2245 HUGO CURTIS DENNIS (580) 326-3336CLINTON DAY PATRICK (580) 323-5421 HUGO EDWARDS JEFF (580) 326-3319COLLINSVILLE HART LEN (918) 371-3339 IDABEL SHUPERT DARIN (580) 286-2020CORDELL MACARTY DAVID (580) 832-3385 JENKS PAUL TAMMY (918) 296-4733COWETA DRAKE ROBERT (918) 486-3951 KINGFISHER MCMULLIN GERALD (405) 375-3128COWETA KING LOUIS (918) 486-2146 KINGFISHER REICHERT JOSEPH (405) 375-5994COWETA WATKINS CHERI (918) 279-8830 KINGFISHER REICHERT PAM (405) 375-5994CUSHING FIELDING JEFFREY (918) 225-5565 LAWTON BARNES JR JOHN (580) 355-3036CUSHING WHITE LESLIE (918) 225-1548 LAWTON EDWARDS JIM (580) 248-5280DEL CITY BLUE TOM (405) 677-8831 LAWTON HEAD JENNIFER (580) 355-1298DUNCAN LAQUEY RONNY (580) 255-0249 LAWTON HEAD ROBERT (580) 355-1298DUNCAN MILLER ROBERT (580) 255-1346 LAWTON NOLAN DEAN (580) 355-3036DURANT CLAY GREGORY (580) 920-2020 LAWTON ROSS HOWARD (580) 353-5640DURANT SILLS JOHN (580) 924-4230 LAWTON SWALES RICHARD (580) 357-6911EDMOND CHARLES JR LARRY (405) 330-1100 LINDSAY BOECKMAN MIKE (405) 756-4414EDMOND FIELDING BRAD (405) 341-3567 MANGUM HULSEY EDWARD (580) 782-3317EDMOND MELTON JACK (405) 478-4444 MANNFORD ELLIOTT KATHLEEN (918) 865-2116
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
PRIMARY VISION CARE SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY04rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
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YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
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VISION PLANS
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ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
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SERVICES WWWSUPERIORVISIONCOM
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This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
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Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEMANNFORD HISKETT ROY (918) 367-2020 SAND SPRINGS HIGGS LARRY (918) 245-4747MARIETTA BARRINGER JOHN (580) 276-5548 SAND SPRINGS MANAHAN MARK (918) 245-2020MARLOW WALKER WESLEY (580) 658-6664 SAND SPRINGS MORRIS DENNIS (918) 245-4747MCALESTER DUFF JEFFREY (918) 426-0106 SAPULPA HIGGS LARRY (918) 224-2610MCALESTER SMITH F EDDIE (918) 423-3043 SAPULPA JANOWIAK JAMES (918) 224-2389MIAMI KIRKPATRICK JERRY (918) 542-6540 SAPULPA MORRIS DENNIS (918) 224-2610MIAMI MCQUIGG CLARK (918) 542-1929 SAYRE EPP DAVID (580) 928-2212MIAMI WALLS WADE (918) 542-1929 SEILING CARLISLE MAX (580) 922-6022MIDWEST CITY BALDWIN BOB (405) 732-2277 SHAWNEE GLECKLER MARSHALL (405) 275-7676MIDWEST CITY CHRISTENSEN BOBBY (405) 732-2277 SHAWNEE HOSTER KIRK (405) 275-2020MIDWEST CITY LAVERTY RUSSELL (405) 732-2277 STROUD MOORE TIMOTHY (918) 968-3422MIDWEST CITY SMAY JOHN (405) 732-2277 SULPHUR BRAGG EVAN (580) 622-3035MOORE PAINTER JON (405) 799-7706 SULPHUR DALRYMPLE B L (580) 622-2020MOORE VENARD MAX (405) 794-7544 TAHLEQUAH WILKINS LEONARD (918) 456-0585MUSKOGEE COBURN JERRY (918) 682-7752 TISHOMINGO JOHNSON BRYAN (580) 371-2020MUSKOGEE CREED RICHARD (918) 687-7530 TULSA CARTMELL STEVEN (918) 665-1800MUSKOGEE NELSON MIKE (918) 682-2181 TULSA DUDLEY ANDREA (918) 745-9700MUSKOGEE ODOM VAN (918) 682-7752 TULSA FISHER CARL (918) 250-8555MUSTANG GRIMES PHILLIP (405) 376-2429 TULSA FREE DAVID (918) 582-7346NORMAN BURCHAM JEFFREY (405) 364-2020 TULSA GELWICK PHILLIP (918) 744-7638NORMAN FLAX TROY (405) 321-2155 TULSA GOODWIN LARRY (918) 585-1523NORMAN HALL WESLEY (405) 329-3600 TULSA HANSEN ALISON (918) 749-7667NORMAN MARTIN PEPPER (405) 321-2155 TULSA HARREL MONTE (918) 745-9662NOWATA MEISTER HAROLD (918) 273-0486 TULSA HARREL MONTE (918) 742-8050OKLAHOMA CITY COOPER ROBERT (405) 946-4398 TULSA HILL KENNETH (918) 446-3171OKLAHOMA CITY FORESTER SCOTT (405) 840-2800 TULSA LAWSON MICHAEL (918) 742-2055OKLAHOMA CITY HARRISON WAYMON (405) 691-2210 TULSA LAWSON TERRY (918) 585-8465OKLAHOMA CITY HEWETT DON (405) 634-3319 TULSA MOORE FRANK (918) 461-2367OKLAHOMA CITY KENMORE TODD (405) 634-3319 TULSA RAHME VICTORIA (918) 743-9918OKLAHOMA CITY LAM IRENE (405) 528-8200 TULSA STOVER JAMES (918) 585-8465OKLAHOMA CITY LATIMER RALPH (405) 684-9448 TULSA SWARTZ KEVIN (918) 599-0202OKLAHOMA CITY MULLEN JERRY (405) 721-7450 VINITA BUTNER JAMES (918) 256-5543OKLAHOMA CITY REDWINE GEORGE (405) 528-1207 VINITA GREINER JACK (918) 256-5646OKLAHOMA CITY SCHMID SAMUEL (405) 848-3619 WAGONER MITCHELL JEFFREY (918) 485-2123OKLAHOMA CITY YADON TRAVIS (405) 634-3319 WAGONER NAIFEH FRED (918) 485-4775OKMULGEE MEGOWN WALT (918) 756-2124 WAGONER RICE SHELLY (918) 485-4775OKMULGEE MITCHELL JEFFREY (918) 756-2124 WARNER DUROSSETTE KIMBERLY (918) 463-3937OWASSO CASH DAVID (918) 272-5311 WATONGA LEE SUSAN (580) 623-2300OWASSO HINKLE NORMAN (918) 272-5311 WATONGA NELSON TIMOTHY (580) 623-5073PAULS VALLEY MILLER LANCE (405) 207-9500 WEATHERFORD SHRECK DWIGHT (580) 772-3232PERRY COWELL C SCOTT (580) 336-2020 WEATHERFORD TISDAL PAUL (580) 772-2819PONCA CITY KELLE DONALD (580) 765-7509 W SILOAM SPRINGS VAUGHAN SUSAN (918) 422-5811POTEAU HARRISON TERRY (918) 647-2153 WETUMKA LAVALLEY JAY (918) 652-8165POTEAU ROBERTS DAVID (918) 647-3284 WOODWARD HAWKINS JOHN (580) 256-7755PRYOR PEARSON DOUGLAS (918) 825-6144 WYNNEWOOD BRAGG EVAN (580) 622-3213PRYOR STRAWHUN DWIGHT (918) 825-5120 WYNNEWOOD DALRYMPLE B L (405) 665-5686PURCELL HERRIN CAMERON (405) 527-2020 YUKON ROBERSON CURTIS (405) 354-6614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwpvcs-usacomPRIMARY VISION CARE SERVICES
Be aware that providers may be added or dropped during the plan year
CUSTOMER SERVICE NUMBER 1-888-357-6912 580-357-6912 ONLINE AND ON THE GO
BenefitsPY04rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEALTUS MCCULLOUGH OD EARL F 580-477-1249 OKLAHOMA CITY HARRISON OD WAYMON D 405-691-2210
BARTLESVILLE FOUST OD PHILLIP E 918-333-3636 OKLAHOMA CITY HERRIN OD FRED 405-721-0100
BETHANY CARLIN OD CATHERINE F 405-782-0300 OKLAHOMA CITY HICKS OD RANDEL S 405-692-2526
BETHANY FRY OD CHRISTOPHER J 405-782-0300 OKLAHOMA CITY LEE OD SUSAN 405-767-2020
BETHANY PRIVOTT OD MARK B 405-495-5170 OKLAHOMA CITY MASSENGALE OD CURT L 405-631-2020
BLACKWELL SANDY OD GREG 580-363-4020 OKLAHOMA CITY MCBRIDE OD GIFFORD M 405-691-9222
BROKEN ARROW BEATS OD COLBY C 918-258-9999 OKLAHOMA CITY PLANK OD KENNETH E 405-749-2002
BROKEN ARROW MURRELL OD STACEY D 918-258-9999 OKLAHOMA CITY SHEPHERD MD JERRY V 405-949-2882
BROKEN ARROW ROACH JEREMY D 918-254-1111 OKLAHOMA CITY SNOWDEN OD MONTY L 405-682-8991
CATOOSA DUKE OD ROBERT C 918-266-3411 OKLAHOMA CITY VANDORN B D 405-755-0620
CLAREMORE RILEY OD JUDITH A 918-341-3284 OKLAHOMA CITY YOUNG OD GARY P 405-728-3393
CLAREMORE RILEY OD LARRY A 918-341-3284 OWASSO JAY RIGNEY OD JAN 918-272-3937
COWETA DRAKE OD DARYN R 918-486-3951 OWASSO THOMAS OD LANITA R 918-376-2700
COWETA KING OD LOUIS L 918-486-2146 PONCA CITY QUINN OD MILBURN R 580-762-0870
COWETA WATKINS OD CHERI A 918-279-8830 PRAGUE RADELL OD ROGER L 405-567-2261
DEL CITY BLUE OD THOMAS D 405-677-8831 PRYOR STRAWHUN OD LINCOLN D 918-825-5120
DURANT CLAY GREGORY 580-920-2020 SALLISAW TRUDEAU OD JAMES 918-775-4524
DURANT RHYNES JASON 580-920-2020 SAND SPRINGS MORRIS OD DENNIS M 918-245-4747
EDMOND MELTON OD ALISSA P 405-478-4444 SAND SPRINGS PRESELEY OD RICHARD I 918-241-2020
EDMOND MELTON OD JACK W 405-478-4444 SAND SPRINGS TRAN OD TRACY T 918-241-2020
EDMOND MELTON OD RYAN J 405-478-4444 SAPULPA JANOWIAK OD JAMES L 918-224-2394
EDMOND MOYER OD STEVEN B 405-478-3040 SKIATOOK ROBERSON OD GERALD C 918-396-1234
EDMOND SIMON OD RICHARD V 405-341-7055 STROUD MOORE TIMOTHY D 918-968-3422
EDMOND STRANGE OD VICTORIA R 405-341-7055 TAHLEQUAH BOWMAN MD JOHN T 918-456-0567
EDMOND WOLF THOMAS 405-341-6941 TAHLEQUAH HATFIELD OD LISA A 918-456-0567
EL RENO REGE MD VIDYA 405-262-9900 TECUMSEH OZMENT MATTHEW 405-598-6558
FT GIBSON COY OD DEBBIE S 918-478-8888 TULSA BRADLEY OD JOHN 918-836-4259
FT GIBSON GARRISON OD DENNIS H 918-478-3000 TULSA BRYAN MD JOHN D 918-481-6630
GLENPOOL GOSNELL OD JOHN L 918-291-1222 TULSA CARTMELL OD STEVEN D 918-665-1800
GROVE LANTZ OD LARRY T 918-786-2254 TULSA FARRIS OD DONALD J 918-744-5700
HOLDENVILLE IRBY JR OD ROBERT L 405-379-3610 TULSA GELWICK OD PHILLIP A 918-744-7638
JENKS PAUL OD TAMMY M 918-296-4733 TULSA GOODWIN OD LARRY H 918-585-1523
LAWTON EDWARDS OD JIM 580-248-5280 TULSA HANSEN OD ALISON D 918-749-7667
MCALESTER DUFF OD JEFFREY T 918-426-0106 TULSA HARREL OD MONTE E 918-745-9662
MCALESTER EDWARDS OD CAROLYN S 918-423-2031 TULSA LAWSON OD MICHAEL D 918-585-1523
MCALESTER HICKS OD JAMES F 918-423-8231 TULSA LAWSON OD TERRY L 918-742-2055
MIDWEST CITY CRAIN MD RUSSELL D 405-733-2520 TULSA LINDSEY OD JUSTIN R 918-481-6630
MIDWEST CITY JENTZENOD RANDALL D 405-737-0713 TULSA MACKEY OD SANDRA A 918-249-2020
MIDWEST CITY VOSS OD JOSEPH 405-733-1717 TULSA MERCHANT OD KENNETH J 918-622-6244
MUSKOGEE CREED OD RICHARD D 918-687-7530 TULSA PITTS OD KIRBY 918-252-7432
MUSKOGEE NELSON OD JAMES M 918-683-1021 TULSA REINSTEIN MD NED M 918-492-8111
MUSKOGEE NELSON OD MICHAEL 918-682-2181 TULSA SCAVEZZE OD AARON M 918-437-6360
MUSKOGEE STEWART OD CANDACE Y 918-687-4459 TULSA SKAGGS OD DERRICK O 918-274-4566
MUSKOGEE TRIMBLE OD LESLIE R 918-687-4459 TULSA SNODGRASS OD BLANE E 918-492-2702
NORMAN BURCHAM OD JEFFREY L 405-364-2020 TULSA SWEET OD CAROL L 918-491-7396
NORMAN KISH OD NICOLE M 405-573-9166 TULSA TEEL OD DAWN 918-492-8111
OKLAHOMA CITY CAMP OD ROBERT C 405-685-8807 TULSA TIPTON OD BRIAN D 918-437-6360
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SPECTERAJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA WADSWORTH JR OD DARWIN E 918-622-3926 TULSA WOFFORD OD MATTHEW G 918-663-3937
TULSA WENTZ-HARRINGTON ODELISABETH 918-834-2929 VINITA GREINER OD JACK H 918-256-5646
TULSA WEST OD JERRY D 918-492-1722 WARNER DUROSETTE KIMBERLY 918-4633937
TULSA WILK OD LARRY M 918-249-2020 YUKON HAMPTON OD MICHAEL 405-354-3624
VISIT OUR WEBSITE FOR MORE INFORMATION wwwspecteracom
Be aware that providers may be added or dropped during the plan year
SPECTERA
PROVIDER LOCATOR SERVICE NUMBER 1-800-839-3242CUSTOMER SERVICE NUMBER 1-800-638-3120
ONLINE ENROLLMENT FIRST EVER
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA JOHNSON BRYAN 580-272-9600 OKLAHOMA CITY CRAIN RUSSELL 405-971-9393BETHANY PRIVOTT MARK 405-495-5170 OKLAHOMA CITY EAKINS SHERRI 405-755-6111BLACKWELL SANDY GREG 580-363-4020 OKLAHOMA CITY FOX GARY 405-691-3937BROKEN ARROW BEATS COLBY 918-258-9999 OKLAHOMA CITY GREENHAW LARRY 405-749-0220BROKEN ARROW BERENSON THOMAS 918-451-2020 OKLAHOMA CITY HARRISON WAYMON 405-691-2210BROKEN ARROW HUDKINS JOHN 918-455-2020 OKLAHOMA CITY HICKS RANDEL 405-692-2526BROKEN ARROW LIPE HERMAN 918-455-2020 OKLAHOMA CITY HUMMEL JOHN 405-755-6111BROKEN ARROW MURRELL STACEY 918-258-9999 OKLAHOMA CITY JARON CHRIS 405-632-2300BROKEN ARROW ROACH JEREMY 918-254-1111 OKLAHOMA CITY JENTZEN RANDEL 405-632-2300CATOOSA DUKE ROBERT 918-266-3411 OKLAHOMA CITY JOHNSON JAY 405-632-2300CLAREMORE CLIFTON BRUCE 918-343-7300 OKLAHOMA CITY JONES ED 405-634-3535CLAREMORE LYNN ERIC 918-342-4222 OKLAHOMA CITY JONES EDWARD 405-949-6401COWETA KING LOUIS 918-486-2146 OKLAHOMA CITY KISH NICOLE 405-848-8845EDMOND SIMON RICHARD 405-341-7055 OKLAHOMA CITY KISH NICOLE 405-755-0620EDMOND STRANGE VICTORIA 405-341-7055 OKLAHOMA CITY LAWTON JOHN 405-632-2300EL RENO REGE VIDYA 405-262-9900 OKLAHOMA CITY MASSENGALE CURT 405-631-2020ENID CARLSON SCOTT 580-233-8200 OKLAHOMA CITY PHAM FORTSMITH 405-755-0620FORT GIBSON COY DEBBIE 918-478-8888 OKLAHOMA CITY PRIVOTT MARK 405-755-6111GLENPOOL GOSNELL JOHN 918-291-1222 OKLAHOMA CITY REDWINE GEORGE 405-582-1207GROVE BODIFORD GARY 918-786-9013 OKLAHOMA CITY REGE VIDYA 405-495-7373GROVE LANTZ LARRY 918-786-2254 OKLAHOMA CITY VAN DORN BD 405-755-0620IDABEL GRAVES M 918-785-4166 OWASSO RIGNEY JAN 918-272-3937JENKS SCHEFF-PAUL TAMMY 918-296-4733 PONCA CITY CARTER THOMAS 580-765-3356LAWTON EDWARDS JIM 580-248-5280 PONCA CITY DORMAN GARY 580-765-3356LAWTON HEAD ROBERT 580-355-1298 PONCA CITY TROTTER J 580-765-3379LAWTON ROSS HOWARD 580-353-5090 POTEAU HOLT TAMATHA 918-649-0524LAWTON SNIDER TIMOTHY 580-355-2020 PURCELL PAGE RON 405-527-3636MARLOW WALKER WESLEY 580-658-6664 SAPULPA FRICKE STEPHEN 918-227-8332MCALESTER DUFF JEFFREY 918-426-0106 SAPULPA HILL KENNETH 918-227-8332MIDWEST CITY CRAIN RUSSELL 405-733-2520 SAPULPA JANOWIAK JAMES 918-224-2389MIDWEST CITY TESIO KRIS 405-737-6681 SKIATOOK CARLSON SCOTT 918-396-4440MIDWEST CITY VOSS JOSEPH 405-733-1717 SKIATOOK ROBERSON GERALD 918-396-1234MOORE PAINTER JON 405-799-7706 STIGLER ROACH JEREMY 918-967-4424MUSKOGEE CREED RICHARD 918-687-7539 STROUD MOORE TIMOTHY 918-968-3422MUSKOGEE FLUSCHE GARY 918-683-8404 TAHLEQUAH BODIFORD GARY 888-386-2020MUSKOGEE MILLER BILL 918-687-7539 TECUMSEH OZMENT MATTHEW 405-598-6558MUSKOGEE NELSON JAMES 918-683-1021 TISHOMINGO JOHNSON BRYAN 580-371-2020MUSKOGEE PARKER BILL 918-683-8404 TULSA BALYEAT RAY 918-749-6461MUSKOGEE STEWART CANDACE 918-687-4459 TULSA BROCKMAN TODD 918-749-6461MUSKOGEE TRIMBLE LESLIE 918-687-4459 TULSA BRYAN JOHN 918-481-6630MUSTANG PARTIN GLENN 405-376-9779 TULSA CARTMELL STEVEN 918-665-1800NORMAN BURCHAM JEFFREY 405-364-2020 TULSA DUBIN HILLY 918-252-0438NORMAN DOLTON WILLIAM 405-360-9494 TULSA DUDLEY ANDREA 918-745-9700NORMAN KISH NICOLE 405-573-9166 TULSA DUDLEY ANDREA 918-745-9700NORMAN ROBERSON JAMES 405-573-0073 TULSA FARRIS DONALD 918-744-5700OKLAHOMA CITY BUTCHER JEFFREY 405-775-0400 TULSA FISHER CARL 918-250-8555
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
SUPERIOR VISION SERVICESJanuary 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONETULSA FRICKE STEPHEN 918-446-3171 TULSA REINSTEIN NED 918-492-8111TULSA GELWICK PHILIP 918-744-7638 TULSA ROBERSON GERALD 918-254-1613TULSA GOODWIN LARRY 918-585-1523 TULSA ROBERTS JOHN 918-749-2220TULSA GRAEFE GERALD 918-664-1180 TULSA ROZELL VANESSA 918-627-1556TULSA HILL KENNETH 918-446-3171 TULSA SCHWARTZ DAVID 918-749-6461TULSA HUNTER GERARD 918-747-0289 TULSA SKAGGS DERRICK 918-369-7272TULSA KING HARRY 918-663-1211 TULSA SNODGRASS BLANE 918-492-2702TULSA KOLKER DAVID 918-592-2020 TULSA STOVER JAMES 918-585-1523TULSA LAWSON GERRI 918-742-2055 TULSA TEEL DAWN 918-492-8111TULSA LINDSEY JUSTIN 918-481-6630 TULSA WADSWORTH D 918-622-3926TULSA LAWSON MICHAEL 918-585-1523 TULSA WEISS MARK 918-742-2428TULSA LAWSON TERRY 918-742-2055 TULSA WEST JERRY 918-492-1722TULSA MARTIN NICK 918-250-6766 TULSA WOFFORD MATT 918-663-3937TULSA MEDCALF STEVEN 918-455-8022 VINITA BODIFORD GARY 918-256-4070TULSA MESENBRINK RACHEL 918-742-5513 WAGONER MITCHELL JEFFREY 918-485-2123TULSA MOORE FRANK 918-461-2367 WARNER DUROSETTE KIMBERLY 918-463-3937
YUKON HAMPTON MICHAEL 405-354-3624SUPERIOR VISION SERVICES
VISIT OUR WEBSITE FOR MORE INFORMATION wwwsuperiorvisioncom
Be aware that providers may be added or dropped during the plan year
ONLINE AND ON THE GO
CUSTOMER SERVICE NUMBER 1-800-507-3800
VISIT YOUR EYE DOCTOR FOR AN EYE EXAM ONCE A YEAR TO MAINTAIN GOOD EYESIGHT
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEADA CASHMAN ROBERT 5804362423 CHICKASHA VARLEY R 4052221270ADA CUNNINGHAM J KEVIN 5803323936 CHOCTAW LEWIS LARRY 4053909106ADA ELLIOTT JEFFREY 5803326000 CHOCTAW LEWIS TERRY 4053909106ADA ELLIOTT JEFFREY 5804362020 CLAREMORE CLIFTON BRUCE 9183437300ADA GURLEY CHARLES 5803325606 CLAREMORE KUYKENDALL ERIC 9183412020ADA GURLEY CHRIS 5804362020 CLAREMORE LAMBERT JAMES 9183418211ADA JOHNSON BRYAN 5802729600 CLAREMORE LYNN ERIC 9183424222ALTUS GEIGER MICHAEL 5804821756 CLAREMORE PARKER ROBERT 9183417800ALTUS GIFFORD STEVEN 5804820051 CLAREMORE REINECKE DAVID 9183424222ALTUS HUEY DAVID 5804771355 CLAREMORE RILEY JUDITH 9183413284ALTUS MCCULLOUGH JR EARL 5804771249 CLAREMORE RILEY LARRY 9183413284ALVA PIPER HUGHBANKS TRINA 5803273335 CLAREMORE SMITH STEVE 9183418211ALVA SMITH TROY 5803272393 CLAREMORE STOVER JAMES 9183418211ANADARKO SLAVIN ROBERT 4052476412 CLEVELAND FIELDING GREGORY 9183582245ARDMORE BARRINGER JOHN 5802263523 CLINTON COFFEY JAMES 5803231515ARDMORE CLAY GARLAND 5802238676 CLINTON DAY M PATRICK 5803235421ARDMORE HOBBS DAVID 5802265858 CLINTON MADDEN RICHARD 5803230337ARDMORE MARTIN DON 5802236780 COALGATE GARDNER DUKE 5809272322ATOKA HARDIN MICHELLE 5808899500 COLCORD VAUGHAN SUSAN 9184225811BARTLESVILLE BENNETT JAMIE 9183364068 COLLINSVILLE HART LEN 9183713339BARTLESVILLE FOUST PHILLIP 9183333636 CORDELL MACARTY JOHN 5808323385BARTLESVILLE LEE WILLIAM 9183360607 COWETA DRAKE ROBERT 9184863951BARTLESVILLE LINDGREN RORY 9183332123 COWETA KING LOUIS 9184862146BETHANY CARLIN CATHERINE 4057820301 COWETA WATKINS CHERI 9182798830BETHANY FRY CHRIS 4057820300 CUSHING FIELDING JEFFREY 9182255565BETHANY PRIVOTT MARK 4054955170 CUSHING WHITE LESLIE 9182251548BIXBY HILL III THEODORE 9183692020 DEL CITY BLUE THOMAS 4056778831BIXBY WARD JAY 9183692020 DUNCAN ATCHLEY JODY 5802559717BLACKWELL CHENOWETH CHRISTOPHER 5803632385 DUNCAN LA QUEY RONNY 5802550249BLACKWELL SANDY GREG 5803634020 DUNCAN MILLER ROBERT 5802551346BRISTOW ELLIOTT KATHLEEN 9183672020 DUNCAN RICE DONALD 5802550988BRISTOW HISKETT ROY 9183672020 DUNCAN WALKER TIMOTHY 5802557399BROKEN ARROW ANDERSON MITCHELL 9184554545 DURANT CLAY GREGORY 5809202020BROKEN ARROW BERENSON THOMAS 9184512020 DURANT KRIEGER NEAL 5809200400BROKEN ARROW HUDKINS J 9184552020 DURANT RHYNES JASON 5809202020BROKEN ARROW ROACH JEREMY 9182541111 DURANT SILLS JR JOHN 5809244230BROKEN BOW CROUSE DAN 5805842000 DURANT WILLIAMS THOMAS 5809242730CATOOSA DUKE ROBERT C 9182663411 EDMOND CHARLES J LARRY 4053301100CHANDLER EVANS JR K DEAN 4052581234 EDMOND FIELDING BRADLEY 4053413567CHECOTAH HILL BILLY 9184732308 EDMOND MELTON ALISSA 4054784444CHEROKEE NEWTON CARL 5805963573 EDMOND MELTON JACK 4054784444CHICKASHA CLIFT CHRISTEN 4052245342 EDMOND MELTON RYAN 4054784444CHICKASHA DENTON MONTE 4052222020 EDMOND MOYER STEVEN 4054783040CHICKASHA MCRAY STEPHEN 4052222020 EDMOND SIMON RICHARD 4053417055CHICKASHA MINNETT JOHN 4052245342 EDMOND STRANGE VICTORIA 4053417055
EBC
mployeesenefitsouncil
VISION PLAN PROVIDER REFERENCE GUIDE
for Plan Year 2004
VISION SERVICE PLAN (VSP)January 1 2004 through December 31 2004
This guide includes Optometrists and Ophthalmologists
BenefitsPY 2004rg 1
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEEDMOND WILKERSON ELISABETH 4053419480 MCALESTER SMITH F 9184233043EDMOND WRIGHT TODD 4054782800 MIAMI KIRKPATRICK JERRY 9185426540ELK CITY EDWARDS JOHN 5802251980 MIAMI MCFERRON JOHN 9185422020ELK CITY FORD GARY 5802251980 MIAMI MCQUIGG A CLARK 9185401929EL RENO HARPER EDWARD 4052626611 MIAMI WALLS WADE 9185401929EL RENO REICHERT JOSEPH 4052622354 MIDWEST CITY BALDWIN BOB 4057322277ENID DIEHL DON 5802333599 MIDWEST CITY CHRISTENSEN BOBBY 4057322277ENID KRAFT ANDREW 5802422020 MIDWEST CITY HOPKINS JACK 4057378935ENID MCEACHERN SCOTT 5802374772 MIDWEST CITY LAVERTY RUSSELL 4057322277ENID PATTERSON RALPH 5802422020 MIDWEST CITY MCBRIDE GIFFORD 4057324503ENID SLOAT BILL 5802379379 MIDWEST CITY MCBRIDE SCOTT 4057324503EUFAULA COBURN JERRY 9186892677 MIDWEST CITY PERKINS N GENE 4057320353EUFAULA ODOM RAY 9186892677 MIDWEST CITY SMAY JOHN 4057322277FAIRVIEW CARLISLE MAX 5802274878 MOORE LEDBETTER LANCE 4057943588FORT GIBSON COY DEBBIE 9184788888 MOORE LEEMASTER JAY 4057997510FORT GIBSON GARRISON DENNIS 9184783000 MOORE MAYES LISA 4057997510GLENPOOL GOSNELL JOHN 9182911222 MOORE PAINTER JON 4057997706GROVE LANTZ LARRY 9187862254 MOORE VENARD MAX 4057947544GROVE YANDELL BURNESS 9187869777 MOORE WARREN MARCIA 4057947544GUTHRIE BENNETT MICHAEL 4052824396 MUSKOGEE COBURN JERRY 9186827752GUTHRIE COOK DOUGLAS 4052825555 MUSKOGEE CREED RICHARD 9186877530GUTHRIE COOK LISA 4052825555 MUSKOGEE FLUSCHE GARY 9186838404GUYMON JOHNSON MACK 5803388437 MUSKOGEE MILLER BILL 9186877530GUYMON NOSSAMAN ELMER 5803388437 MUSKOGEE NELSON JAMES 9186831021HENNESSEY SMITH JOHN 4058536800 MUSKOGEE NELSON MIKE 9186822181HENRYETTA BRIAN MICHAEL 9186522536 MUSKOGEE ODOM RAY 9186827752HENRYETTA LAVALLEY JAY 9186528165 MUSKOGEE PARKER BILL 9186838404HOBART FRAZIER JARI 5807263301 MUSKOGEE SMYTHE PENNY 9186879998HOLDENVILLE IRBY JR ROBERT 4053793610 MUSKOGEE SOPER MICHAEL 9186879998HUGO CURTIS DENNIS 5803263336 MUSKOGEE STEWART CANDACE 9186874459HUGO EDWARDS JEFF 5803263319 MUSKOGEE TRIMBLE LESLIE 9186874459IDABEL BUTLER JAMES 5802867686 MUSTANG GRIMES PHILLIP 4053762429IDABEL SHUPERT DARIN 5802867175 MUSTANG PARTIN GLENN 4053769779JENKS PAUL TAMMY 9182964733 NEWCASTLE DENTON MONTE 4053872020KINGFISHER MCMULLIN GERALD 4053753128 NEWCASTLE MCRAY STEPHEN 4053872020KINGFISHER REICHERT JOSEPH 4053755994 NORMAN BURCHAM JEFFREY 4053642020LAWTON BARNES JR JOHN 5803553036 NORMAN DOLTON WILLIAM 4053661110LAWTON EDWARDS JAMES 5802485280 NORMAN FLAX TROY 4053212155LAWTON HEAD ROBERT 5803551298 NORMAN GEURKINK THOMAS 4053298100LAWTON NOLAN J DEAN 5803553036 NORMAN INGELS TANYA 4054475001LAWTON ROSS HOWARD 5803535090 NORMAN MARTIN PEPPER 4053212155LAWTON SWALES RICHARD 5803576911 NORMAN SHED FORREST 4053641487LINDSAY BOECKMAN MICHAEL 4057564414 NORMAN SLATTEN JAMES 4053602822MADILL WRIGHT HAROLD 5807952537 NORMAN ULLOA TANYA 4054475001MANGUM HULSEY EDWARD 5807823317 NORMAN YOUNG KEVIN 4053603590MANNFORD ELLIOTT KATHLEEN 9188652116 NOWATA MEISTER H 9182730486MANNFORD HISKETT ROY 9188652116 OKLAHOMA CITY BISHOP JOHN 4057518851MARLOW WALKER WESLEY 5806586664 OKLAHOMA CITY BRINKER DAVID 4059434413MCALESTER DUFF JEFFREY 9184260106 OKLAHOMA CITY CAMP ROBERT 4056858807MCALESTER EDWARDS CAROLYN 9184232031 OKLAHOMA CITY COOPER ROBERT 4059464398MCALESTER HICKS JAMES 9184238231 OKLAHOMA CITY DOWELL A 4052350536MCALESTER KANARD HAILEY 9184260728 OKLAHOMA CITY EAKINS SHERRI 4057556111
BenefitsPY 2004rg 2
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONEOKLAHOMA CITY FORESTER SCOTT 4056329749 PERRY COWELL C SCOTT 5803362020OKLAHOMA CITY FORESTER SCOTT 4058402800 PERRY REYNOLDS DAVID 5803365524OKLAHOMA CITY FOX GARY 4056913937 PERRY WILDA STACEY 5803360777OKLAHOMA CITY GITTINS TRAVIS 4057733937 PONCA CITY DORMAN GARY 5807653356OKLAHOMA CITY GLINSKI EDWARD 4056361508 PONCA CITY KELLE DONALD 5807657509OKLAHOMA CITY GOODHEAD ROBERT 4057218500 PONCA CITY QUINN MILBURN 5807620870OKLAHOMA CITY GOODMAN GEORGE 4057893087 PONCA CITY STUEVER WILLIAM 5807625700OKLAHOMA CITY HARRISON WAYMON 4056912210 PONCA CITY TROTTER JERRY 5807653379OKLAHOMA CITY HEFNER POE KIMBERLY 4057210877 POTEAU HARRISON TERRY 9186472153OKLAHOMA CITY HERRIN III FRED 4057210100 POTEAU HOLT TAMATHA 9186490524OKLAHOMA CITY HEWETT DON 4056343319 POTEAU RAUNIKAR ANTHONY 9186479283OKLAHOMA CITY HICKS RANDEL 4056312152 POTEAU ROBERTS DAVID 9186473284OKLAHOMA CITY HICKS RANDEL 4056922526 PRAGUE RADELL ROGER 4055672261OKLAHOMA CITY HUMMEL JOHN 4057556111 PRYOR FULLERTON MICHAEL 9188250055OKLAHOMA CITY JONES JOHNNY 4059434413 PRYOR LYNN ERIC 9188251314OKLAHOMA CITY KENMORE TODD 4056343319 PRYOR PEARSON DOUGLAS 9188256144OKLAHOMA CITY LAM IRENE 4055288200 PRYOR REINECKE DAVID 9188251314OKLAHOMA CITY LATIMER RALPH 4056849448 PRYOR STRAWHUN LINCOLN 9188255120OKLAHOMA CITY MACE JOHN 4056361508 PURCELL HERRIN CAMERON 4055272020OKLAHOMA CITY MCBRIDE GIFFORD 4056919222 PURCELL PAGE RONNIE 4055273636OKLAHOMA CITY MCKENZIE KATHY 4056342471 SALINA THODEN HEIDI 9184348516OKLAHOMA CITY MORGAN GARY 4056916777 SALLISAW DOBBS WYATT 9187755529OKLAHOMA CITY MOTES JULIE 4057517272 SALLISAW THODEN HEIDI 9187759150OKLAHOMA CITY MULLEN JERRY 4057217450 SALLISAW TRUDEAU JAMES 9187754524OKLAHOMA CITY PHILLIPS JOSEPH 4057210877 SAND SPRINGS HIGGS LARRY 9182454747OKLAHOMA CITY PLANK KENNETH 4057492002 SAND SPRINGS MANAHAN MARK 9182452020OKLAHOMA CITY PRIVOTT MARK 4057556111 SAND SPRINGS MORRIS DENNIS 9182454747OKLAHOMA CITY REDWINE GEORGE 4055281207 SAND SPRINGS RIGGINS LAURA 9182459546OKLAHOMA CITY SCHMID SAMUEL 4058483619 SAPULPA HAGEN HUBERTINA 9182273937OKLAHOMA CITY SMITH MICHAEL 4059471512 SAPULPA HARTIN J FERRELL 9182242389OKLAHOMA CITY SNOWDEN MONTY 4056828991 SAPULPA HIGGS LARRY 9182242610OKLAHOMA CITY STROTHER DAVID 4057891542 SAPULPA JANOWIAK JAMES 9182242389OKLAHOMA CITY TATE MICHAEL 4059439548 SAPULPA MORRIS DENNIS 9182242610OKLAHOMA CITY WALKER PHILLIP 4057515638 SAYRE EPP DAVID 5809282212OKLAHOMA CITY WHITLOW PHILIP 4056914111 SEMINOLE MCRAY BRYAN 4053822020OKLAHOMA CITY YADON J TRAVIS 4056343319 SHAWNEE DEEM CHARLES 4052737075OKLAHOMA CITY YOUNG GARY 4057283393 SHAWNEE DIAZ ORLANDO 4052735801OKMULGEE HALL DAVID 9187560316 SHAWNEE GLECKLER MARSHALL 4052757676OKMULGEE HULL WILLIAM 9187562124 SHAWNEE HOSTER KIRK 4052752020OKMULGEE MEGOWN WALT 9187562124 SHAWNEE MCLAUGHLIN W CLAY 4052735801OKMULGEE MITCHELL JEFFREY 9187562124 SHAWNEE QUINN AUSTIN 4052757400OKMULGEE WARD JAMES 9187560316 SKIATOOK CARLSON SCOTT 9183964440OWASSO BODE DENISE 9182725755 SKIATOOK ROBERSON GERALD 9183961234OWASSO CASH DAVID 9182725311 STIGLER COY DEBBIE 9189674424OWASSO HINKLE NORMAN 9182725311 STIGLER ROACH JEREMY 9189674424OWASSO RIGNEY JAN 9182723937 STILLWATER ADAMS DANIEL 4057432526OWASSO THOMAS LANITA 9183762700 STILLWATER CHANG KONG 4053720098PAULS VALLEY JONES LARRY 4052385566 STILLWATER COCKRELL CHERRY 4053720098PAULS VALLEY MILLER LANCE 4052079500 STILLWATER COCKRELL DAVID 4053720098PAULS VALLEY VARNER BRUCE 4052386459 STILLWATER DRUMMOND JONATHAN 4053722033PAWNEE CHANG KONG 9187622573 STILLWATER GUMM BRIAN 4053723724PAWNEE MILLER JEFF 9187622573 STILLWATER MILLER JEFF 4053720098
BenefitsPY 2004rg 3
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Employees Benefits Council Vision Provider Reference Guide for Plan Year 2004
CITY LAST NAME FIRST NAME PHONE CITY LAST NAME FIRST NAME PHONESTILLWATER REEVES HENRY 4053722033 TULSA RINER DARYLE 9187492020STILLWATER REYNOLDS DAVID 4053723724 TULSA RODDY DENISE 9184972002STILLWATER SMITH EDDIE 4053727337 TULSA RODDY KENNETH 9184972002STILLWATER STARK JAMES 4053723724 TULSA ROGERS JOE 9187439918STILWELL BRUNK BILL 9186966717 TULSA SCAVEZZE AARON 9184376360STROUD MOORE TIMOTHY 9189683422 TULSA SKAGGS DERRICK 9183697272SULPHUR BRAGG EVAN LEE 5806223035 TULSA WADSWORTH JR DARWIN 9186223926SULPHUR DALRYMPLE BRANDEN 5806223035 TULSA WALSH BILLIE 9187121212TAHLEQUAH BAKER THOMAS 9184530900 TULSA WILK LARRY 9182492020TAHLEQUAH DUNN JAMES 9184563552 TULSA ZOELLNER ROBERT 9187492020TAHLEQUAH EDMONDSON WILLIAM 9184565511 VINITA BUTNER JAMES 9182565543TAHLEQUAH MAHANEY JAMES 9184563552 VINITA GREINER JACK 9182565646TAHLEQUAH MILLER KATE 9184562250 TULSA SWIFT CASEY 9184612020TAHLEQUAH WILKINS LEONARD 9184560585 TULSA SWIFT CASEY 9187492020TISHOMINGO JOHNSON BRYAN 5803712020 TULSA TIPTON BRIAN 9184376360TULSA BOATRIGHT RONALD 9184612020 TULSA STOVER JAMES 9185851523TULSA BRADLEY JOHN 9188364259 TULSA SWARTZ KEVIN 9185990202TULSA BRISTER ZEB 9185851523 TULSA RAINWATER WESLEY 9182540447TULSA BROWNLEE GREGORY 9187428050 TULSA RINER DARYLE 9184612020TULSA CARTMELL STEVEN 9186651800 WAGONER HOMAN WILLIAM 9184859110TULSA DUBIN HILLY 9182520438 WAGONER LINDSAY JOHN 9184858439TULSA DUDLEY ANDREA 9187459700 WAGONER MITCHELL JEFFREY 9184852123TULSA FARRIS DONALD 9187445700 WAGONER RICE SHELLY 9184854775TULSA FISHER CARL 9182508555 WATONGA LEE SUSAN 5806232300TULSA FREE DAVID 9185827346 WATONGA NELSON TIMOTHY 5806235073TULSA GELWICK PHILLIP 9187447638 WEATHERFORD FANSLER ARLYN 5807727704TULSA GOODWIN LARRY 9185851523 WEATHERFORD FRANTZ MYRA 5807720101TULSA GRAEFE GERALD 9186641180 WEATHERFORD SHRECK DWIGHT 5807723232TULSA HARREL MONTE 9187428050 WEATHERFORD TISDAL PAUL 5807722819TULSA HARREL MONTE 9187459662 WILBURTON GRANTHAM MATT 9184653780TULSA HILL KENNETH 9184463171 WILBURTON RAUNIKAR ANTHONY 9184653780TULSA JACKSON TONYA WARD 9182527432 WOODWARD COOK GREGORY 5802561288TULSA KASTL JUDY 9182502020 WOODWARD HAWKINS JOHN 5802567755TULSA KOLKER DAVID 9185922020 WOODWARD LAIRD RICK 5802566699TULSA LAWSON MICHAEL 9185851523 WOODWARD PECK DAVID 5802566021TULSA LAWSON TERRY 9187422055 WYNNEWOOD BRAGG EVAN LEE 4056655685TULSA MACKEY SANDRA 9182492020 WYNNEWOOD DALRYMPLE BRANDEN 4056655685TULSA MERCHANT KENNETH 9186226244 YUKON HAMPTON MICHAEL 4053543624TULSA MOORE FRANK 9184612367 YUKON HATLEY VALERIE 4053542788TULSA RAHME VICTORIA 9187439918 YUKON ROBERSON CURTIS 4053546614
VISIT OUR WEBSITE FOR MORE INFORMATION wwwvspcomBe aware that providers may be added or dropped during the plan year
VISION SERVICE PLAN (VSP)
CUSTOMER SERVICE NUMBER 1-800-877-7195
ONLINE AND ON THE GO
BenefitsPY 2004rg 4
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability
Please remember that you enroll with the Plan and not the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change plans You will need to find another PCP or PCD within the plan Call your plan to change providers (PCP=Primary Care Physician PCD=Primary Care Dentist)
CommunityCare HMO 1-800-777-4890 WEBSITE wwwccokcom
PacifiCare HMO 1-800-825-9355 WEBSITE wwwpacificarecom
Fortis BenefitsUDC 1-800-443-2995 WEBSITE wwwfortisbenefitsdentalcom
Note Many dentists provide services at several different locations or as members of a dental clinic group Clinic groups often rotate among patients so you may not always be scheduled with the same dentist
E
B
C
mployees
enefits
ouncil
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
Park Harvey Center 200 North Harvey Suite 1200
Oklahoma City Oklahoma 73102-4003 405-232-1190mdash1-800-219-8115
WEBSITE wwwebcstateokus
Even though the information in this packet was provided to EBC by the participating plans there is no guarantee that all providers will remain contracted with the plans or that they will have open patient slots all year long Please contact the plan or the individual doctor or dentistrsquos office to verify availability Please remember that you enroll in a Plan and not with the Provider If your PCP or PCD drops his or her contract during the Plan Year this does not allow you to change your plan You will need to find another PCP or PCD within the plan Call your plan to change providers
EBC Benefits Department
EBC
mployeesenefitsouncil
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
CHECK OUT THE WEBSITES EBCrsquos website wwwebcstateokus
EB
HEALTHCHOICE M HMOs
COMMUNIT PACIFICAR
HEALTCHOICE DE MANAGED CARE D
W
AMERITAS COMPBENEFITS V
PRIMARY VISION
SPECTERA SUPERIOR VISION VISION SERVICE P
HEALTH PLANS
WWWHEALTHCHOICEOKCO
YCARE WWWCCOKCOME WWWPACIFICARECOM
DENTAL PLANS
NTAL WWWHEALTHCHOICEOKCOM
ENTAL FORTISUDC WWFORTISBENEFITSDENTALCOM
VISION PLANS
WWWAMERITASGROUPCOM
ISION CARE WWWVISIONCARECOM
CARE SERVICE WWWPVCS-USACOM
WWWSPECTERACOM
SERVICES WWWSUPERIORVISIONCOM
LAN WWWVSPCOM
This publication printed by the University of Oklahomarsquos Printing Services Division is issued by theEmployees Benefits Council as authorized by its Executive Director 50000 copies have been preparedand distributed at a cost of $20250 Copies have been deposited with the Publication Clearinghouse ofthe Department of Libraries
C Benefits Department
- JANUARY 1 2004 through DECEMBER 31 2004
- Oklahoma City Oklahoma 73102-4003
- WEBSITE wwwebcstateokus
- CHECK OUT THE WEBSITES
-
- EBCrsquos website wwwebcstateokus
-
- ZIPpdf
-
- ZIP
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-
- PG PCPpdf
-
- PCP
-
- Provider chart hosppdf
-
- HOSP
-
- Fortispdf
-
- DENT-Fortis
-
- Ameritaspdf
-
- VIS-AMERITAS
-
- Compbenefitspdf
-
- VIS-COMPBENEFITS
-
- PVCSpdf
-
- VIS-PVCS
-
- Specterapdf
-
- VIS-SPECTERA
-
- Superiorpdf
-
- VIS-SUPERIOR
-
- VSPpdf
-
- VIS-VSP
-
- noticepglastpdf
-
- CommunityCare HMO1-800-777-4890
- WEBSITE wwwccokcom
- PacifiCare HMO1-800-825-9355
- WEBSITE wwwpacificarecom
-
- Fortis BenefitsUDC1-800-443-2995
-
- WEBSITE wwwfortisbenefitsdentalcom
-