Complete Vision Care, Inc. | |
200 E Woodlawn Dr, Leadington, MO 63601-4436 | |
(573) 431-1301 | |
(573) 431-9339 |
Full Name | Complete Vision Care, Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 200 E Woodlawn Dr, Leadington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497895908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2006017276 (Missouri) | Primary |
Provider Name | Michelle Spray |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275541302 PECOS PAC ID: 0648284471 Enrollment ID: I20060202000000 |
Provider Name | Christopher J Brenon |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871595520 PECOS PAC ID: 3870626989 Enrollment ID: I20100726000876 |
Provider Name | Mark A Kahrhoff |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528154275 PECOS PAC ID: 1850424029 Enrollment ID: I20100809000890 |
Provider Name | John B Crane |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144337437 PECOS PAC ID: 5395871404 Enrollment ID: I20101007000468 |
Provider Name | Derek B Wiles |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225336324 PECOS PAC ID: 1456527274 Enrollment ID: I20111229000035 |
Provider Name | Catherine Radakovic |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629014089 PECOS PAC ID: 5092701417 Enrollment ID: I20131011001636 |
Provider Name | Dustin Jacob Wiles |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033473566 PECOS PAC ID: 3375857311 Enrollment ID: I20150804004538 |
Mailing Address | Practice Location Address |
---|---|
Complete Vision Care, Inc. 200 E Woodlawn Dr, Leadington, MO 63601-4436 Ph: (573) 431-1301 | Complete Vision Care, Inc. 200 E Woodlawn Dr, Leadington, MO 63601-4436 Ph: (573) 431-1301 |
Dr. Evan T Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 E Woodlawn Dr, Leadington, MO 63601 Phone: 573-431-1301 Fax: 573-431-9339 | |
Dr. Derek B Wiles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 E Woodlawn Dr, Leadington, MO 63601 Phone: 573-431-1301 Fax: 573-431-9339 | |
Dr. Christopher J Brenon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 E Woodlawn Dr, Leadington, MO 63601 Phone: 573-431-1301 Fax: 573-431-9339 |