| Brady L Wilborn, OD | |
|
202 E North St, California, MO 65018-1583 | |
| (573) 796-2222 | |
| (573) 796-4184 |
| Full Name | Brady L Wilborn |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 202 E North St, California, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124025879 | NPI | - | NPPES |
| 100406140B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1608 (Kansas) | Secondary |
| 152W00000X | Optometrist | 168620 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brady L Wilborn, OD 202 E North St, California, MO 65018-1583 Ph: (573) 796-2222 | Brady L Wilborn, OD 202 E North St, California, MO 65018-1583 Ph: (573) 796-2222 |
Jill Denise Smith Radkowiec, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 E North Street, California, MO 65018 Phone: 573-796-2222 Fax: 573-796-4184 | |
Donald J Vanderfeltz, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 E North St, California, MO 65018 Phone: 573-796-2222 Fax: 573-796-4184 | |
Ryan Curtis Wilkerson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 E North St, California, MO 65018 Phone: 573-792-2222 Fax: 573-796-5184 | |
Vision Health Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 E North St, California, MO 65018 Phone: 573-796-2222 Fax: 573-796-4184 |