Amy Molina, OD | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-0048 | |
(573) 596-0716 |
Full Name | Amy Molina |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134591571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2015029734 (Missouri) | Primary |
Provider Name | Ophthalmology Consultants Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508899543 PECOS PAC ID: 6800884008 Enrollment ID: O20040505001055 |
Provider Name | Mercy Health Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164567897 PECOS PAC ID: 2264329168 Enrollment ID: O20070723000817 |
Provider Name | Mercy Clinic Ophthalmology Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003179656 PECOS PAC ID: 1951544428 Enrollment ID: O20130830000818 |
Mailing Address | Practice Location Address |
---|---|
Amy Molina, OD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0048 | Amy Molina, OD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0048 |
Ettinger Optometry, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 143 Replacement Ave, Building 487, Fort Leonard Wood, MO 65473 Phone: 573-329-4860 Fax: 573-329-4860 | |
Peyton Mckay Simpson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 | |
Shriya Ruparel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 | |
Sunland Optical Co., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 143 Replacement Ave, Bld 487, Fort Leonard Wood, MO 65473 Phone: 573-329-4860 | |
Dr. Nathan D Dederman, OD, FAAO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473 Phone: 505-249-9251 | |
Jessica Ward, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 |