Carthage Vision Clinic Llc | |
2020 S Garrison Ave, Carthage, MO 64836-3687 | |
(417) 359-0600 | |
(417) 359-0601 |
Full Name | Carthage Vision Clinic Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 2020 S Garrison Ave, Carthage, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487047536 | NPI | - | NPPES |
7473660001 | Other | MO | DMERC NORIDIAN PTAN |
MA5504 | Other | MO | MEDICARE PTAN |
DV9359 | Other | MO | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T03101 (Missouri) | Primary |
Provider Name | Gregory J Goetzinger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013940477 PECOS PAC ID: 1052488525 Enrollment ID: I20080925000087 |
Provider Name | Shelby N Baugh Bruner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407385701 PECOS PAC ID: 7810265360 Enrollment ID: I20170626000274 |
Mailing Address | Practice Location Address |
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Carthage Vision Clinic Llc 2020 S Garrison Ave, Carthage, MO 64836-3687 Ph: (417) 359-0600 | Carthage Vision Clinic Llc 2020 S Garrison Ave, Carthage, MO 64836-3687 Ph: (417) 359-0600 |
Gregory J. Goetzinger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 3rd St, Carthage, MO 64836 Phone: 417-359-0600 Fax: 417-359-0601 | |
Dr. Alan K. Lewis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2705 Grand Ave, Carthage, MO 64836 Phone: 417-358-1203 Fax: 417-358-3649 | |
Dr. Michelle Lea Pyle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 E 4th St, Carthage, MO 64836 Phone: 417-358-2950 Fax: 417-358-4204 | |
Carthage Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 130 E 4th St, Carthage, MO 64836 Phone: 417-358-2950 Fax: 417-358-4204 | |
Dr. Shelby Nicole Baugh Bruner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 S Garrison Ave Ste A, Carthage, MO 64836 Phone: 417-359-0600 Fax: 417-359-0601 | |
Dr. Victoria Bounous, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 E 4th St, Carthage, MO 64836 Phone: 417-358-2950 |