2020 Optical Center | |
12 N Jefferson Ave, Marshall, MO 65340-2148 | |
(660) 886-5584 | |
(660) 886-2633 |
Full Name | 2020 Optical Center |
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Type | Facility |
Speciality | Optometrist |
Location | 12 N Jefferson Ave, Marshall, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790890184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T03163 (Missouri) | Primary |
Provider Name | Tron Y Lally |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265547640 PECOS PAC ID: 2961443171 Enrollment ID: I20050518000630 |
Mailing Address | Practice Location Address |
---|---|
2020 Optical Center 12 North Jefferson, Marshall, MO 65340-2106 Ph: (660) 886-5584 | 2020 Optical Center 12 N Jefferson Ave, Marshall, MO 65340-2148 Ph: (660) 886-5584 |
Dr. Dennis Leon Hunter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 365 W Morgan St, Marshall, MO 65340 Phone: 660-886-5517 Fax: 660-886-5074 | |
Marshall Eye Care Center,llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 365 W Morgan St, Marshall, MO 65340 Phone: 660-886-5517 Fax: 660-886-5074 |